Application Of The Concept Of Enhanced Recovery After Surgery In Percutaneous Nephrolithotomy Under Imaging Prepositioning And Correction Positioning Mode

Objective: To explore the safety and clinical application value of the enhanced recovery after surgery(ERAS)concept in percutaneous nephrolithotomy(PCNL)under imaging prepositioning and correction positioning mode.Methods: Analyze the clinical data of 60 patients with upper urinary tract stones treated in this group from December 2017 to December 2019.The patients were randomized after hospitalization,and all patients were pre-positioned for CT.According to whether the concept of accelerated rehabilitation surgery was performed during the perioperative period,they were divided into ERAS group and control group.The operation time and intraoperative blood loss of the two groups were compared.(Differences in hemoglobin before and after surgery),postoperative anal exhaust time,postoperative pain score(4h,24 h,48h),catheter retention time,postoperative hospital stay,hospitalization costs and other differences.Results: 1.ERAS group patients were(50.00 ± 10.83)years old,BMI was(23.96 ± 3.54)kg / m2,stone surface area was(330.63 ± 205.41)mm2;control group patients were(50.10 ± 12.05)years old,BMI was(24.08 ± 3.75)kg / m2,and the stone surface area was(341.42 ± 125.94)mm2.There was no significant statistical significance between the baseline data of the two groups of patients(P> 0.05);2.The operation time of the ERAS group was(112.00 ± 29.03)min,the amount of bleeding(the difference between hemoglobin before and after surgery)is(18.13 ± 8.94)g / L,the operation time of the control group is(109.97 ± 30.98)min,and the amount of bleeding is(17.53 ± 7.08)g / L.There was no statistically significant difference in the operation time and bleeding volume between the two groups(P> 0.05).3.Compared with the control group,postoperative exhaust time,urinary catheter retention time,postoperative analgesic effect(4h,24 h,48h),postoperative hospitalization days and hospitalization costs in ERAS group were statistically significant(P < 0.05).Conclusion: The application of PCNL in the imaging prepositioning and modified positioning mode combined with the ERAS concept can effectively accelerate the postoperative recovery of patients,reduce the average hospital stay,and reduce the social and family economic burden.