Abstract:

Objective　To investigate the application effect of stirrup shape multifunctional leg support in the treatment of nephron-ureteral calculi under the oblique lateral lithotomy position combined with percutaneous nephrolithotomy (PCNL) and ureteroscopy lithotripsy (URSL). Methods　A total of 65 patients were selected from Guangdong Provincial People's Hospital from January 2019 to May 2021, who underwent PCNL combined with URSL in the integrated oblique lateral lithotomy position. Among them, 34 patients in the control group [20 males and 14 females, aged (54.62±10.31) years] were placed in the oblique lateral position with conventional lithotomy leg support, and 31 patients in the observation group [21 males and 10 females, aged (54.77±12.61) years] were placed in the oblique lateral position with new stirrup shape leg support. The time spent in position placement and vital signs such as arterial pressure change of the healthy upper limb, heart rate, and pulse oxygen before position placement and after the patient was restored to the supine position were recorded. Independent sample t test was used for the measurement data and Chi-square test was used for the count data. Results　There were no statistically significant differences in the systolic blood pressure, diastolic blood pressure, heart rate, and pulse oxygen index between the two groups before and after surgery (all P>0.05). Secondary statistical analysis was performed on the differences of systolic blood pressure, diastolic blood pressure, heart rate, and pulse oxygen index before and after surgery, and the differences were not statistically significant (all P>0.05). The time spent in position placement in the observation group was (16.32±1.17) min, which was shorter than that in the control group [(33.47±3.54) min], with a statistically significant difference (P<0.05). Conclusions　The stirrup shape multifunctional leg support has the advantages of high safety, easy operation, all-round protection, and flexible adjustment. It has obvious advantages in the oblique lateral position (one body position).

Key words: Stirrup shape multifunctional leg support, Oblique lateral position, Nephron-ureteral calculi

摘要： 目的　探讨马镫型多功能腿架联合斜侧卧截石位在双镜联合下处理肾输尿管结石的应用效果。方法　选取2019年1月至2021年5月广东省人民医院行一体化斜侧卧位经皮肾镜碎石联合输尿管镜碎石患者65例，其中按摆放体位的不同器械分别设定为对照组34例和观察组31例。对照组男20例、女14例，年龄（54.62±10.31）岁，采取常规截石位脚架摆放；观察组男21例、女10例，年龄（54.77±12.61）岁，采用新型马镫型体位架摆放。记录摆放体位的耗时，以及患者体位摆放前、手术结束恢复平卧位的健侧上肢动脉测压变化、心率以及指脉氧等生命体征数据。计量资料采用独立样本t检验，计数资料采用卡方检验。结果　两组患者手术前后收缩压、舒张压、心率以及指脉氧指标比较，差异均无统计学意义（均P>0.05）。对收缩压、舒张压、心率以及指脉氧指标的变化差值进行二次统计学分析，差异均无统计学意义（均P>0.05）。观察组体位摆放时间为（16.32±1.17）min，短于对照组的（33.47±3.54）min，差异有统计学意义（P<0.05）。结论　马镫型多功能腿架具有高安全性、易操作性、全方面保护性及可随时微调等优点，在配合斜侧卧一体化体位的摆放，具有明显优势。

关键词: 马镫型多功能腿架, 斜侧卧位, 肾-输尿管结石