CAJ | 학술논문

目的：本研究主要就经皮肾镜下钬激光碎石患者的手术配合以及临床护理展开分析讨论。方法选择我院2011年12月至2012年12月所收治的76例泌尿系统结石患者作为研究对象，所有患者在入院后均给予经皮肾镜下钬激光碎石治疗。结果在本研究的所有患者中，有62例患者的结石一次性取净，10例患者的结石经2次手术后取净，4例患者的结石经3次手术后取净，有2例患者在治疗过程中出现了中毒性败血症的情况。所有患者在手术过程中均未进行输血治疗，且在术后未出现继发性出血的情况。结论经皮肾镜下钬激光碎石术具有术后恢复快、并发症少、出血量少、创伤小等优点，在临床治疗中值得大力推广并普及使用。
목적：본연구주요취경피신경하화격광쇄석환자적수술배합이급림상호리전개분석토론。방법선택아원2011년12월지2012년12월소수치적76례비뇨계통결석환자작위연구대상，소유환자재입원후균급여경피신경하화격광쇄석치료。결과재본연구적소유환자중，유62례환자적결석일차성취정，10례환자적결석경2차수술후취정，4례환자적결석경3차수술후취정，유2례환자재치료과정중출현료중독성패혈증적정황。소유환자재수술과정중균미진행수혈치료，차재술후미출현계발성출혈적정황。결론경피신경하화격광쇄석술구유술후회복쾌、병발증소、출혈량소、창상소등우점，재림상치료중치득대력추엄병보급사용。
Objective This study mainly under the percutaneous nephroscope holmium laser lithotripsy in patients with surgery with analysis of discussions and clinical care. Methods Our hospital in December 2011-December 2011, 76 patients with urinary calculi were treated by as the research object, all of the patients in hospital were performed percutaneous nephroscope after holmium laser lithotripsy treatment. Results All patients in this study, 62 patients of calculi one-time get net, 10 cases of calculus after surgery 2 times the net, 4 cases of patients with calculi by 3 times take net after the surgery, 2 patients appeared in the process of treatment of sepsis. All of the patients are not for blood transfusion treatment during surgery, and without secondary bleeding after surgery. Conclusion Holmium laser lithotripsy under percutaneous nephroscope has quick recovery, fewer complications, less blood loss, and the advantages of small trauma, is worth promoting in clinical treatment and its widespread use.