斜卧-截石位与俯卧位微创经皮肾处理肾、输尿管上段结石的疗效比较

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Abstract Objective To investigate therapeutic effects of the minimally invasive percutaneous nephrolithotomy of renal and ureteral calculi in recumbent-lithotomy position and prone position.Methods A total of 112 patients with kidney and upper ureteral calculi treated with minimally invasive percutaneous nephrolithotomy from March 2016 to March 2018 were selected and divided into the observation group and the control group according to the random number table methods,56 cases in each group.All patients underwent minimally invasive percutaneous nephrolithotomy.The observation group took a recumbent-lithotomy position and the control group took a prone position.The treatment efficiency,intraoperative blood loss,operation time,hospital stay time,and postoperative complications were compared between the two groups.Results The clinical effective rate of the observation group was significantly higher than that of the control group,with significant difference (P＜0.05).The blood loss of the observation group was significantly less than that of the control group,the operation time and length of stay were significantly shorter than those of the control group,with significant difference(P＜0.05).The stone clearance rate of the observation group was significantly higher than that of the control group,and postoperative fever rate and pain rate were significantly lower than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion The therapeutic effects of minimally invasive percutaneous nephrolithotomy of renal and ureteral calculi in recumbent-lithotomy position and prone position is better,which can improve the stone removal rate and reduce the incidence of postoperative complications.It is worthy of clinical promotion.

Key words： Recumbent-lithotomy position Prone position Minimally invasive percutaneous nephrolithotomy Efficacy comparison

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	Articles by authors
	HE Zhuo-bin
	WANG Wei-feng
	DING Qiang-hong
	HUANG An-yu

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HE Zhuo-bin,WANG Wei-feng,DING Qiang-hong, et al. Therapeutic effects comparison of the minimally invasive percutaneous nephrolithotomy of renal and ureteral calculi in recumbent-lithotomy position and prone position[J]. 中国当代医药, 2018, 25(21): 67-69.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I21/67

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