CAJ | 학술논문

目的：探讨 B 超引导下斜仰卧位微创经皮肾镜取石术治疗上尿路结石的临床应用价值。方法：采用斜仰卧位微创经皮肾镜取石术治疗上尿路结石95例，其中肾结石83例，输尿管上段结石12例，观察其治疗效果。结果：所有患者行 MPCNL 均成功，一期结石清除率82.1%（78/95），有17例结石残余，术后需用 ESWL 辅助治疗，无严重并发症发生，平均手术时间90 min（50~120 min），平均住院7.8 d（5~9 d）。结论：B 超引导下斜仰卧位经皮肾镜取石术是安全而有效的，并可防止辐射对术者手术团队及患者的影响，进行微创经皮肾镜手术时，斜仰卧位对术者麻醉师及患者是一个良好的手术体位选择。
목적：탐토 B 초인도하사앙와위미창경피신경취석술치료상뇨로결석적림상응용개치。방법：채용사앙와위미창경피신경취석술치료상뇨로결석95례，기중신결석83례，수뇨관상단결석12례，관찰기치료효과。결과：소유환자행 MPCNL 균성공，일기결석청제솔82.1%（78/95），유17례결석잔여，술후수용 ESWL 보조치료，무엄중병발증발생，평균수술시간90 min（50~120 min），평균주원7.8 d（5~9 d）。결론：B 초인도하사앙와위경피신경취석술시안전이유효적，병가방지복사대술자수술단대급환자적영향，진행미창경피신경수술시，사앙와위대술자마취사급환자시일개량호적수술체위선택。
Objective:To evaluate the clinical efficacy of mini-percutaneous nephrolithotomy(MPCNL)with ultrasonogra-phy(US)-guided renal access in the lateral decubitus position for the treatment of upper urinary calculi. Methods:95 patients underwent MPCNL with US-guided renal access in the lateral decubitus flank position,including 83 cases of renal stones,and 12 cases of upper urethral calculi. Results:All 95(100% )MPCNL procedures were successfully performed in the lateral decubitus position. Primary stone clearance was achieved in 78 cases(82. 1% ). Residual stones occurred in 17 cases(17. 9% )were treated further by extracorporeal shockwave lithotripsy(ESWL). No serious complications oc-curred. The average operation time was 90(50 ~ 120)min and the average hospital stay was 7. 8(5 ~ 9)d. Conclu-sion:MPCNL with US-guided renal access in the lateral decubitus position,which is a favorable position for the patients, the surgeons and the anesthesiologists during the procedure,is safe and convenient,and prevents harmful effects of radia-tion for the surgical team,and the patient.