Percutaneous nephrolithotomy for upper urinary tract stones with surgery and nursing care_0.doc

 PAGE \* MERGEFORMAT 8 Percutaneous nephrolithotomy for upper urinary tract stones with surgery and nursing care [Keywords:] urinary tract stones, kidney mirror treatment, care Kidney stone traditional open surgery, surgical trauma, heavy damage to the kidneys, the patient recovery time longer. Percutaneous nephrolithotomy stone (lithotripsy of patient injury, less pain, rapid recovery, return to normal in the short term work and life. is the urology treatment of renal, ureteral stones is another major progress. our hospital in January 2008 to carry out percutaneous kidney surgery until January 2009 a total of 62 patients had the kidney stone surgery good effect, now in care with surgery are summarized below. 1 Materials and Methods 1.1 General Information This group of patients with kidney stones were 62 cases, 44 males and 18 females, aged from 31 to 52 years, mean 43 years, the largest stone 4.0cm 5.3cm, minimum 1.0cm 1.0cm, an average of 3.5cm 4.0cm. 1.2 Special-use C-arm X-ray machine, ureteroscopy, lithotripsy, hydraulic perfusion pump, zebra guide wire, 5F ureteral catheter, ureteral stone forceps, fascia expansion 1 set, 18 percutaneous needle, 76% diatrizoate DTPA contrast agent. 1.3 Procedures Preoperative preparation by the kidney surgery. Anesthetic used under the circumstances, general anesthesia or epidural anesthesia. Lithotomy position before taking the bladder, transurethral resection done under local anesthesia ipsilateral ureter catheter, 5F ureteral catheter inserted into the ipsilateral ureter and bladder to the ureter openings the upper or pelvis, then 16F Foley catheter inserted and fixed together with indwelling ureteral, catheter drainage bag connected with double-wrapped sterile gauze ureteral catheter. changing body position to prone position, regular skin disinfection draped waist and paste 3M skin and brain protective film, the C-arm X-ray machine perspective down Percutaneous, needle puncture into th