目的 總結應用輸尿管鏡治療結石梗阻性腎積膿手術配合的經驗。 方法 對2003年4月-2007年12月因輸尿管結石引起梗阻性腎積膿的27例患者行輸尿管鏡檢查、氣壓彈道碎石、取石及留置雙J管治療的臨床資料及手術配合進行回顧性分析。 結果 27例患者中,1次取凈結石24例;術后2周經體外震波碎石治愈2例;改行開放手術1例,術中無明顯并發癥。 結論 手術護士應熟悉操作步驟,密切配合醫生手術。應用輸尿管鏡治療結石梗阻性腎積膿具有療效好、創傷小、安全可靠等優點。
The incidence, mortality, and disability rate of spontaneous intracerebral hemorrhage (SICH) are high, and its surgical and medical treatment is still controversial. With the development of micro-neurosurgical technology, minimally invasive surgery (MIS) has made great progress in the treatment of SICH. It can remove intracerebral hematoma in the early stage after SICH and minimize or eliminate secondary brain injury, which is of great significance to reducing the mortality and disability rate. For many years, due to its continuous progress, MIS has been more and more widely used in the treatment of SICH. This article mainly reviews the progress of MIS in SICH and related clinical research at home and abroad, and briefly describes several innovative techniques related to MIS, which aims to promote the exchange of clinical experience in MIS of SICH.