Minimally invasive percutaneous nephrolithotomy lithotomy Nursing.docVIP

 PAGE \* MERGEFORMAT 11 Minimally invasive percutaneous nephrolithotomy lithotomy Nursing Keywords: minimally invasive percutaneous renal puncture Minimally invasive percutaneous renal puncture (Mpcnl) from the back skin to the renal collecting system to establish channels for renal, ureteral calculi method, the authors from March 2006 to February 2008 care and kidney and ureteral calculi in patients with 42 cases, report are as follows. A clinical data 1.1 General Information The group of 27 males and 15 females; the average age of 38 years. Kidney stones in 25 cases, 17 cases of upper ureteral calculi; of these four cases of staghorn stones, multiple stones in 6 cases, bilateral kidney stones in 2 cases, 1 case of solitary kidney stones combined, there is the history of open surgery in 1 case. 1.2 surgical Transurethral surgery before implantation retrograde ureteral F5 ~ 6 ureteral catheter to the renal pelvis, take prone position, kidney area Xiadian pillow. X-ray localization, metallic objects in the surface mark, some patients with B-position, outlined in the surface contours of the kidney projection, retrograde injection, artificial hydronephrosis, according to patients before the marked puncture points, puncture, puncture and successfully entered into the collection system, There urine was linear from the needle sheath outflow into the establishment of expansion of zebra guidewire channel, cut the skin near the puncture needle 5mm, along the guide wire with the fascial dilator and gradually expanded, from the F8 in turn be extended to the establishment of Toishi F16 ~ 18 channel, into Peel-away sheath into the ureteroscope for stones, pneumatic lithotripsy probe smashed the big stones, and then switch to ultrasound probe gravel crushing small stones can be crushed into powder holmium laser directly. The use of infusion pumps and pulse water through the retrograde ureteral catheter out of stone. Conventional