目的分析斜仰卧截石位经皮肾镜+输尿管镜治疗肾输尿管上段复杂结石患者的效果。方法肾输尿管上段复杂结石患者68例,随机分为两组各34例。对照组接受俯卧位经皮肾镜+输尿管镜治疗,观察组接受斜仰卧截石位经皮肾镜+输尿管镜治疗,比较两组的治疗效果。结果观察组的手术时间显著短于对照组,术中出血量显著少于对照组(均P <0.05)。观察组的一次性清石率、一期结石取净率、治疗总有效率均显著高于对照组(均P <0.05)。结论斜仰卧截石位经皮肾镜+输尿管镜治疗肾输尿管上段复杂结石患者具有显著的临床效果,手术时间短,术中出血量少,一次性清石率以及一期结石取净率高。
Objective To analyze the effect of percutaneous nephroscope in oblique supine lithotomy position + ureteroscope for complex stone in upper ureteral segment. Methods 68 cases of patients with complex stone in upper ureteral segment were randomly divided into two groups, with 34 cases in each group. The control group accepted the treatment of percutaneous nephroscope in prone position + ureteroscope, while the observation group accepted the treatment of percutaneous nephroscope in oblique supine lithotomy position + ureteroscope. The treatment effects of the two groups were compared. Results The operation time of the observation group was shorter than that of the control group, and the intraoperative blood loss was less than that of the control group (P <0.05). The one-time stone clear rate, the first-stage stone removal rate and the total effective rate of treatment of the observation group were higher than those of the control group (P <0.05). Conclusions Percutaneous nephroscope in oblique supine lithotomy position combined with ureteroscope for the treatment of patients with complex stone in upper ureteral segment has significant clinical efficacy, with short operation time, less intraoperative blood loss and high one-time stone clear rate and first-stage stone removal rate.
Clinical Medicine and Engineering
Complex stone in upper ureteral segment
Oblique supine lithotomy position