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两种不同手术体位在经皮肾镜取石手术中的比较

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目的::对比经皮肾镜取石手术俯卧位与“人”字形俯卧位的摆置时间和相关并发症的发生率。方法:回顾分析我院2013年2月—10月45例肾结石患者采用两种手术体位行经皮肾镜取石术,传统组患者(俯卧位)25例,对比组患者(“人”字形俯卧位)20例,比较两组体位摆置时间、消毒铺巾时间、血压及术后并发症等。结果:对比组手术体位安置时间明显较传统组时间短,消毒铺巾时间短,对比组手术血压变化明显低于传统组,差异均有统计学意义(P<0.05).结论:“人”字形俯卧位摆置简单方便,安全可靠。
Objective: To compare position placement time and the incidence of associated complications between traditional prone position and prone position with“λ”shape in percutaneous nephrolithotomy.Methods:45 patients with kidney stones received percutaneous nephrolithotomy in two different surgical positions during February 2013 to October 2013 in our hospital were analyzed retrospectively. 25 cases were in traditional prone position (Group A) and 20 cases were in prone position with“λ”shape(Group B). Position placement time, preparation time of disinfection, change of blood pressure and intra-operative complications were compared between two groups.Results:Position placement time and preparation time of disinfection in Group B was shorter than Group A, and changes of blood pressure in Group B were less than Group A, where the differences were statistical y significant(P<0.05).

percutaneous nephrolithotomyprone positionprone position with“λ”shape

田雪梅

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四川省医学科学院?四川省人民医院 610072

经皮肾镜 俯卧位 “人”字形俯卧位

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(12)
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