CAJ | 학술논문

目的：回顾性总结我院在三种体位下行微创经皮肾镜钬激光碎石术的临床疗效并进行分析。方法回顾性分析我院自2009年1月至2013年12月收治的结石患者，分别在俯卧位、侧卧位以及斜侧仰卧位下行经皮肾镜钬激光碎石术，对三种体位下患者的结石清除率、手术时间、出血量、并发症等进行分析。结果三组患者在年龄、性别、结石的部位、结石面积等方面比较差异无统计学意义，但斜侧仰卧位组在合并症方面与其他两组比较，差异具有统计学意义（P <0.05）；三组患者术后疗效比较，斜侧仰卧位 SFR 明显优于其他两组，与其他两组比较，差异具有统计学意义（P <0.05）；在手术并发症方面，斜侧仰卧位组明显低于其他两组，差异具有统计学意义（P <0.05）；在体位舒适性方面，斜侧仰卧位明显优于其他两组，差异具有统计学意义（P <0.05）。结论斜侧仰卧位经皮肾镜钬激光碎石术在结石清除率、出血量、并发症等方面明显优于俯卧位和侧卧位，安全、有效。
목적：회고성총결아원재삼충체위하행미창경피신경화격광쇄석술적림상료효병진행분석。방법회고성분석아원자2009년1월지2013년12월수치적결석환자，분별재부와위、측와위이급사측앙와위하행경피신경화격광쇄석술，대삼충체위하환자적결석청제솔、수술시간、출혈량、병발증등진행분석。결과삼조환자재년령、성별、결석적부위、결석면적등방면비교차이무통계학의의，단사측앙와위조재합병증방면여기타량조비교，차이구유통계학의의（P <0.05）；삼조환자술후료효비교，사측앙와위 SFR 명현우우기타량조，여기타량조비교，차이구유통계학의의（P <0.05）；재수술병발증방면，사측앙와위조명현저우기타량조，차이구유통계학의의（P <0.05）；재체위서괄성방면，사측앙와위명현우우기타량조，차이구유통계학의의（P <0.05）。결론사측앙와위경피신경화격광쇄석술재결석청제솔、출혈량、병발증등방면명현우우부와위화측와위，안전、유효。
Objective To investigate the safty and efficacy of three kinds of lithotomy positions on patients operated with minimally invasive percutaneous nephrolithotomy lithotripsy (mPCNL). Methods From January 2009 to December 2013, 433 patients underwent mPCNL were randomly divided into the prone position,lateral position,and 45° supine anterolateral lithotomy position groups.To compare the stone-free rate operation time,blood loss and complications after operate. Results All operations were successful. The blood loss,stone -free rate, complications and position comfort after one session by 45° supine anterolateral lithotomy position were significantly advantageous compared with the other body positions. Conclusions mPCNL with the patients at semi-supin eanterolateral position is safe,effective and minimally invasive for the treatment of upper urinary calculi.