高危及肥胖患者经皮肾镜碎石术采用腰肋悬空仰卧位效果观察

目的 提高高危及肥胖肾结石患者经皮肾镜碎石术(PCNL)的安全性.方法 将40例行PCNL的高危及肥胖患者随机分成观察组和对照组各20例.对照组取传统的俯卧位;观察组取腰肋悬空仰卧位,即于患侧肩部、臀部分别用3L水袋或气囊垫高14～18 cm,使患侧腰肋部悬空.结果 观察组PCNL耐受性显著好于对照组(P＜0.01);...

Supine position with flank elevated for percutaneous nephrolithotomy in obese and high-risk patients

Objective To improve safety of percutaneous nephrolithotomy(PCNL) in obese and high-risk patients.Methods Forty obese or high-risk patients with renal calculi receiving PCNL were randomly divided into an observation group and a control group,with 20 cases in each group.Patients in the control group employed traditional prone position for PCNL,and patients in the observation group were placed in supine position with the ipsilateral flank elevated 14-18 cm by using 3-liter saline bags or gas bags placed under shoulder and buttock.Results The operational tolerance in PCNL in the observation group was significantly better than that in the control group(P<0.01).There were no statistical differences in success rate of puncture,stone clearance rate,length of operation and length of hospital stay between the two groups(P>0.05 for all).Conclusion Using supine position with flank elevated for percutaneous nephrolithotomy in obese or high-risk patients is well-tolerated,safe and effective.