B ultrasound-guided percutaneous renal stone surgery care and treatment of kidney stones.docVIP

 PAGE \* MERGEFORMAT 9 B ultrasound-guided percutaneous renal stone surgery care and treatment of kidney stones [Keywords] percutaneous renal stone surgery kidney stones Percutaneous renal biopsy lithotomy (PCNL is rapidly developed in recent years, endourology techniques, with less trauma, quicker recovery and safe and efficient, easily accepted and so the patient [1] .2008 January to June 2009 , the Court PCNL in the treatment of kidney stones using 50 patients with satisfactory result. now care measures as follows. 1 Clinical data The group of 50 cases, including 28 males and 22 females, aged 18 to 65 years (mean 43.6 years, were confirmed by X-ray KUB, IVP and CT diagnosis of renal multiple stones in 34 patients (stone size 2.1 cm × 1.5cm ~ 4cm × 5.8cm, kidney staghorn stone in 5 cases, a horseshoe-shaped stone in 1 case, with hematuria in 5 cases, urinary tract infection in 4 cases of renal insufficiency in 1 case. surgery to continuous epidural anesthesia, in B-monitor positioning, using the needle to the target calyceal puncture, fascial dilator expansion from 8F to 16F, to establish a channel through the skin to the kidney, with kidney mirror, combined with pneumatic lithotripsy and holmium laser lithotripsy under direct vision, stone .37 Example 1 stone success, 11 Example 1 2 weeks after lithotomy, 2 patients with residual stones, extracorporeal shock wave lithotripsy line 1 the net back stones. postoperative indwelling nephrostomy, double J, lead catheter. 2 nursing 2.1 Preoperative Care (1 psychological care: As PCNL is a new technology, patients are in doubt, fear, need to be patience and persuasion, to explain the superiority of surgery, and so successful theories, confidence, a good attitude for surgery (2 postural training: patients in the surgery were to take lithotomy position, prone position, the preoperative nurse to guide patients to practice these two position, especially the prone position, due to the complexity o