侧卧位在经皮肾穿刺钬激光碎石术中的应用

目的：探讨侧卧位在经皮肾穿刺取石术中的应用价值。方法：对75例行经皮肾穿刺取石术的患者,术中均取健侧卧位;已行肾造口的患者直接建立手术通道;其余患者在C臂机引导下,用“十字定位法”给予穿刺扩张建立手术通道,行输尿管镜下钬激光碎石术。结果：75例患者成功建立88条手术通道,顺利完成手术,术中均无明显不适。结论：侧卧位下行经皮肾穿刺取石术具有患者更舒适、术者操作更方便、手术更安全的优势,值得存临床上推广使用。

The application of lateral position in percutaneous nephrolithotomy with holimium laser

Objective:To study the value of lateral position in percutaneous nephrolithotomy.Methods:All patients with lateral position,Those who had made nephrostomy built up work channeles directly,the others bulit up channels by "cross shap localization" under the guidance of c-arm computed and the moniter of fluoroscope.all calculus were performed by using holimium laser with rigid ureteroscope.Results:88 work channels of 75 cases were built up,all patients were treated successfully and felt well.Conclusions:It possess the advantages that patients feel better and operators are more convenient and operations are more safe in percutaneous nephrolithotomy with lateral position.