使用脚蹬以尽量减少长时间膀胱截石位带来的并发症。

Stirrups to minimize complications of prolonged dorsal lithotomy positioning.

作者信息

Reddy P K, Lange P H

机构信息

Department of Urologic Surgery, University of Minnesota Hospital and Clinic, Minneapolis.

出版信息

J Urol. 1988 Feb;139(2):326-7. doi: 10.1016/s0022-5347(17)42399-8.

DOI:10.1016/s0022-5347(17)42399-8

PMID:3339732

Abstract

We evaluated the incidence of postoperative complications associated with positioning in 150 patients who underwent radical retropubic prostatectomy or radical cystectomy with urinary diversion in the modified dorsal lithotomy position. English stirrups were used in the first 75 patients, whereas a new type of stirrup modified from a Krauss arm support was used in the second 75 patients. Use of the new stirrups in the second group significantly decreased the postoperative morbidity associated with the dorsal lithotomy position from 13.3 to 2.6 per cent (p less than 0.05).

摘要

我们评估了150例接受耻骨后根治性前列腺切除术或根治性膀胱切除术并行尿流改道术的患者在改良膀胱截石位下与体位相关的术后并发症发生率。前75例患者使用英式马镫，而后75例患者使用一种由克劳斯臂架改良而来的新型马镫。第二组使用新型马镫显著降低了膀胱截石位相关的术后发病率，从13.3%降至2.6%（P<0.05）。