标准通道辅助微通道经皮肾镜碎石术治疗复杂性结石的护理

doi:10.3969/j.issn.1674-490X.2013.06.020

医学研究与教育 ›› 2013, Vol. 30 ›› Issue (6): 76-80.DOI: 10.3969/j.issn.1674-490X.2013.06.020

标准通道辅助微通道经皮肾镜碎石术治疗复杂性结石的护理

闫红丽,张伟,高艳君,潘秀敏,李月

河北大学附属医院泌尿外科,河北保定,071000

收稿日期:2016-10-09 修回日期:2016-10-09 出版日期:2013-12-25 发布日期:2013-12-25

Study on nursing with standard-PCNL auxiliary combined with mini-PCNL in the treatment of complicated calculi

YAN Hongli,ZHANG Wei,GAO Yanjun,PAN Xiumin,LI Yue

Received:2016-10-09 Revised:2016-10-09 Online:2013-12-25 Published:2013-12-25

摘要/Abstract

摘要： 目的：探讨标准通道辅助微通道经皮肾镜碎石术（PCNL）治疗复杂性结石的优势及护理措施。方法回顾性分析河北大学附属医院2010年7月至2012年7月56例复杂性结石患者行标准通道辅助微通道PCNL的治疗及护理。结果本组56例患者均成功建立标准通道及微通道并一期取净结石，51例完全取净结石，结石清除率91%，残留小结石5例，行体外冲击波碎石（ESWL）治疗后结石排净。手术时间40~100 min，平均手术时间78 min。术中出血量50~200 mL，平均130 mL。住院时间5~10 d，平均住院时间7 d。术后出血、感染、双J管移位等并发症经保守治疗后痊愈。全部病例随访3~18个月，无迟发型出血、严重感染等并发症发生。结论标准通道辅助微通道经皮肾镜碎石术治疗复杂性结石，具有结石清除率高、手术时间短、术中出血少、并发症少等优点。细致周到的护理是手术成功及患者康复的重要保障。

关键词: 复杂性结石, 经皮肾镜碎石术, 标准通道, 微通道, 护理

Abstract: Objective To investigate the nursing approaches with standard-PCNL auxiliary combined with mini-PCNL in treating complicated calculi. Methods Retrospective analysis were used in 56 cases with complex calculi in our hospital from 2010 July to 2012 July treated with standard-PCNL assisted with mini-PCNL. Results Of the 56 patients , all were successfully established standard tract and mini tract and one stage procure were take on all cases , 51 cases were completely removed the stone, the stone free rate(SFR) was 91%, 5 cases of residual calculi which extracorporeal shock wave lithotripsy (ESWL) were used in 5 cases. Operative time were 40~100 min, with a average of 78 min. Intraoperative blood loss was 50~200 mL, average 130 mL. The hospital staying time were 5~10 d, the average hospitalization time was 7 d. Postoperative bleeding, infection, double J cather shifting complications recovered after conservative treatment. All patients were followed up for 3~18 months, the results indicated that there was no delayed hemorrhage, severe infection. Conclusion Our results show that there are many advantages of applying standard-PCNL combined with mini-PCNL in treating complicated calculi, with a high SFR, short operation time, less bleeding. Carefully nursing care is important to approval the success rate of operation and rehabilitation of patients.

Key words: complexed calculi, percutaneous nephrolithotomy, standard tract, mini-tract, nursing

中图分类号:

R473.6

闫红丽,张伟,高艳君,潘秀敏,李月. 标准通道辅助微通道经皮肾镜碎石术治疗复杂性结石的护理[J]. 医学研究与教育, 2013, 30(6): 76-80.

YAN Hongli,ZHANG Wei,GAO Yanjun,PAN Xiumin,LI Yue. Study on nursing with standard-PCNL auxiliary combined with mini-PCNL in the treatment of complicated calculi[J]. Medical Reserch and Education, 2013, 30(6): 76-80.

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标准通道辅助微通道经皮肾镜碎石术治疗复杂性结石的护理

Study on nursing with standard-PCNL auxiliary combined with mini-PCNL in the treatment of complicated calculi

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