局部麻醉在输尿管镜治疗上尿路结石的应用陈方敏.pdfVIP

· 254 · Journal of Clinical Urology, Apr 2007, Vol 22, No 4 1 1 1 1 2 陈方敏 　石家齐 　谷江 　李登宝 　曾甫清 　　[ ] 　:。 :3285 , ::、();: ()。 、。 :、、、;; 、, (P 0.01)。 : , , 。 [ ] 　;; 　　[ ] 　R691.4　　[ ] 　A 　　[ ] 　1001-1420(2007)04-0254-04 The application study about therapy of upper ureteral calculi with rigid ureteroscopy under local superficial anesthesia CH E N F ang min 1 　S H I J iaq i 1 　GU J iang 1 　L I D eng bao1 　Z E N G F uqing 2 1 (Department of Urology, the Affiliated Hospiatl of uiyang Medical College, uiyang, 2 550004, China;Department of Urology, Union Hospital, Huazhong University of Science and Techndogy) 　　Abstract　Objective:To study afeasibility of apply local superficial anesthesia to therapy of upper ureteral cal- culi with rigid ureteroscopy.Methods:The integrity and follow-up 3 285 cases about therapy of upper ureteral cal- culi with rigid ureteroscopy were collected from April 1995 to July 2006.There are two different phases, in which it was classified by anesthesiaways containing intraspinal anesthesia (I A group)including continue epidural anes- thesia, sacral anesthesia and lumbar anesthesiafrom April 1995 to October 1999 and local superficial anesthesia(L A group)assisted with paregoric(Petidine hydrochloride)from November 1999 to July 2006.Retrospectively anal- ysis of the two type of cases in these aspects which were the first operation achievement ratio, operation complica- tion ratio, anesthesia complication ratio, the 6-point behavioral rating scale, anesthesia tolerability (efficacy), op- eration time, whole therapy time and comparative therapy expense etc.Results:There were no significant deviation in anesthesia tolerability (efficacy),