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| Efficacy and Safety of Percutaneous Nephrolithotomy under Modified Valdi via Posture for Renal Calculi |
| GU Yong, LIU Jianjun, LI Yong |
| The First People's Hospital of Akesu District, Xinjiang Akesu 843000, China |
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Abstract Objective: To investigate the efficacy and safety of percutaneous nephrolithotomy under improved valdi via posture for renal calculi. Methods: 154 patients with renal calculus admitted to our hospital from October 2016 to November 2017 were analyzed retrospectively. The subjects were control group and study group. The control group was prone position and the study group was modified valdi via position. The clinical efficacy, blood pressure and heart rate, surgical results and adverse reactions were compared between the two groups. Results: The clinical effect of modified valdi via posture in the study group was significantly better than that in the control group ( P<0.05 ). There was no significant difference in blood pressure and heart rate between the two groups before treatment ( P>0.05 ). After treatment, the blood pressure and heart rate in the study group were significantly lower than those in the control group ( P<0.05 ). The operation time, blood loss and blood transfusion rate of kidney stone patients in the study group were all lower than those in the control group (P<0.05 )), and the ambulation time in the study group was also significantly higher than that in the control group (P<0.05 ). After treatment, the wound infection, chest distress, dysphoria and pleura injury in the study group were significantly less than those in the control group ( P<0.05 ). Conclusion: Percutaneous nephrolithotomy in modified valdivia position can improve the clinical effect of renal calculi, stabilize blood pressure and heart rate, and reduce the complications of patients, safe and reliable, worthy of clinical promotion.
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2018, Vol. 24 
