Percutaneous lithotripsy of surgical care.doc

 PAGE \* MERGEFORMAT 5 Percutaneous lithotripsy of surgical care [Keywords:] on the urinary calculi, percutaneous renal lithotripsy, nursing Percutaneous lithotripsy with less trauma, simple, rapid postoperative recovery and less complications, treatment has become one of the major urinary tract stones. Our hospital in May 2006 to 2008 3 were carried out on percutaneous renal lithotripsy in the treatment of 110 cases of urinary tract stones, the effect is satisfactory, will now report the following surgical nursing. 1 Materials and Methods 1.1 Clinical data A total of 110 cases of this group of patients, male 80 cases, 30 females, aged 23 to 76 years, of which 20 cases of ureteral stones combined, two kidney stones in 6 cases, 84 cases of single kidney stones, stone longitudinal diameter 2.0 ~ 6.8 cm, horizontal diameter of 1.5 ~ 5.6 cm. 1.2 Procedures To epidural anesthesia, patients taking the lithotomy position, in the ipsilateral ureter cystoscope line 5 F ureteral catheter inserted retrograde and indwelling catheter. Ureteral catheter in the artificial kidney injected with saline water, later renamed the prone position, in ultrasound, select the first 12 ribs renal calyx, expanding to 20 F or 24 F, to establish channels through channel through the kidney into the renal collecting mirror system, found stones, with its large pneumatic crushed stone. Postoperative ureteral 7 F double J tube indwelling for 4 weeks, in the kidney channel indwelling 18 F nephrostomy. 1.3 operative cooperation 1.3.1 Circuit nurses into the operating room with patients in the upper limb after the establishment of intravenous access, to help anesthesia. Anesthetic success, taking the first endoscopic lithotomy position ipsilateral ureter bladder catheterization and indwelling Foley catheter, and prone position, choose the right based on the patient’s body width and height of the sea pad, raised the renal area to facilitate surgical procedures. choose betw