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目的:总结微创经皮肾镜取石术(mPCNL)的术前准备、术中配合及术后护理的特点及注意事项。方法:回顾性分析我院2013年5月-2015年8月采用B超引导下微创经皮肾镜取石术治疗上尿路结石282例,对术前、术中及术后护理进行总结。结果:280例经经皮肾镜取石成功,中转开放2例。结论:微创经皮肾镜取石术是一项较为成熟的腔内手术方法,该术式避免了开放手术的大创伤,具有术后病人痛苦少、出血少、恢复快等特点;充分的术前准备、熟练的术中配合是手术成功的重要环节。
Objective: To summarize the characteristics and precautions of preoperative preparation, intraoperative and postoperative nursing of minimally invasive percutaneous nephrolithotomy (mPCNL). Methods: A retrospective analysis of our hospital from May 2013 to August 2015 B-guided minimally invasive percutaneous nephrolithotomy lithotomy in 282 cases of upper urinary tract stones, preoperative, intraoperative and postoperative care were summarized. Results: 280 cases were successfully treated by percutaneous nephrolithotomy and 2 cases were switched to open. Conclusion: The minimally invasive percutaneous nephrolithotomy is a mature method of endovascular surgery, which avoids the great trauma of open surgery, has the advantages of less postoperative patient pain, less bleeding, faster recovery and so on. Preparation, skilled surgery is an important part of successful surgery.