摘要
目的探讨自制斜仰卧位手术体位架在经皮肾碎石取石术(percutaneous nephrolithotomy,PCNL)中的临床应用价值。方法 2009年3月~2016年12月在斜仰卧位PCNL术中应用自制手术体位架治疗上尿路结石94例,观察摆放体位前后BP、SpO_2、气道压变化。结果 94例均为手术成功,手术时间30~85 min,(51.5±27.3)min。在摆体位前后BP、SpO_2、全麻下气道压均在正常范围内。结论自制的手术体位架可以满足斜仰卧位PCNL体位的要求,体位状态牢靠且标准化,这种体位下行PCNL生命体征更稳定,安全性更高,值得临床推广应用。
Objective To explore the clinical application of a self-made oblique-supine position equipment for percutaneous nephrolithotomy( PCNL).Methods A total of 94 cases of upper urinary tract calculi were given PCNL under general anesthesia by using a self-made oblique-supine position frame from March 2009 to December 2016.The BP,SpO_2,and airway pressure were observed before and after the position changes.Results The operations were successfully performed in all the 94 cases.The operation time was 30-85 min( mean,51.5 ± 27.3 min).The BP,SpO_2 and airway pressure were within the normal range before and after the position changes.Conclusions The self-made operation position frame can meet the requirements of oblique-supine percutaneous nephrolithotomy surgery.Reliable and standardized position are important for PCNL to maintain stable vital signs.It is worthy of clinical popularization and application.
引文
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