俯卧位和斜仰截石位双镜联合取石术治疗老年肾结石的效果分析

庞国义

焦作市第六人民医院外一科

摘要：目的：分析俯卧位和斜仰截石位双镜联合取石术对老年肾结石（KS）的治疗效果。方法：选取老年KS患者70例，按随机数字表法分为观察组和对照组，每组各35例。两组均予以经皮肾镜（PCNL）联合输尿管软镜（F-URS）取石术治疗，对照组采取俯卧位，观察组采取斜仰截石位。比较两组结石清除率、手术相关指标及并发症发生率。结果：观察组结石清除率91.43%高于对照组的71.43%,差异有统计学意义（P＜0.05）;观察组术中出血量少于对照组，观察组住院时间、手术时间均短于对照组（P＜0.05）;观察组并发症发生率5.71%低于对照组的25.71%,差异有统计学意义（P＜0.05）。结论：斜仰截石位双镜联合取石术治疗老年KS患者的效果较好，可提高结石清除率，降低并发症发生风险。

关键词：斜仰截石位;俯卧位;老年肾结石;经皮肾镜取石术;输尿管软镜取石术;

Effects of prone and oblique lithotomy combined with dual mirror lithotomy on senile renal calculi

PANG Guoyi.(Dept. of Surgery,the 6thPeople′s Hospital of Jiaozuo,Jiaozuo 454000,China)

Abstract Objective: To compare the different effects by prone and oblique lithotomy combined with dual mirror lithotomy treatment on elderly patients with kidney stones(KS). Methods: 70 elderly patients with KS were randomized into the observation group and control group, each with 35 cases. Patients in both groups were treated with percutaneous nephrolithotomy ( PCNL ) combined with flexible ureteroscopy (F-URS),prone position was adopted for patients in the control group, and oblique lithotomy position for patients in the observation group. The calculi clearance, operative indexes and rate of complications were compared between the two groups. Results: The stone clearance rate was lower of the observation group was 91.43%, which was higher than 71. 43% in the control group, which was of statistical difference (P< 0.05);the intraoperative blood loss was less than that of the control group, the hospital stays and operation duration were shorter for the observation group(P<0.05); and the complication rate for the observation group was 5. 71%, lower than 25. 71% for the control group, which was of significance (P< 0. 05). Conclusion: Oblique lithotomy combined with double mirror lithotomy has good efficacy in elderly KS patents, which is beneficial to improve the stone clearance rate and reduce the risk of complications.

Keywords:oblique lithotomy position; prone position; senile renal calculi; percutaneous nephrolithotomy (PCNL); flexible ureteroscopy(F-URS)

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