摘要
目的探讨分析B超在X线不显影的阴性上尿路结石患者行经皮肾镜碎石取石术(PCNL)中的应用效果。方法收集行PCNL的X线显示阴性的上尿路结石患者48例,采用B超引导微创穿刺经皮肾镜碎石取石。同时记录患者的结石残余情况,发热、尿路感染、出血及脏器损伤。结果 48例患者共63侧肾脏均成功建立行经皮肾脏碎石取石通道;一期取净结石者42例,6例患者经2次经皮肾镜碎石取石,其中3例患者B超联合X线碎石;术后发热者4例,尿路感染者2例,均无腹腔内脏器损伤。结论B超引导下行经皮肾镜碎石取石术对X线不显影的阴性肾结石具有很好的引导作用,术后并发症少,安全可行,适合推广。
Objective To investigate the clinical therapeutic effect of B-ultrasound guided minimally invasive percutaneous nephrolithotomy( PCNL) in the treatment of upper ureteral radioparentcalculus. Methods 48 patients with upper ureteral radioparentcalculus admitted to the department were given PCNL through using B-ultrasound location. The success rate of complete stone removal and the complication rate related to the procedure were recorded. Results Operation tracts of PCNL were successfully set for 48 patients. 42 patients cleared the stones through PCNL once,and 6 patients underwent twice,3 patients of which used combining B-ultrasound and X-ray location. Complications were as follows: fever in 4 cases and urinary tract infection in 2 cases with no abdominal organ injury. Conclusion The B-ultrasound can monitor the puncture process during PCNL of upper ureteral radioparentcalculus. The application of B-ultrasound for upper ureteral radioparentcalculus during PCNL is effective and safe,and should be widely used.
出处
《黑龙江医学》
2013年第11期1070-1071,共2页
Heilongjiang Medical Journal
关键词
B超
上尿路结石
经皮肾镜碎石取石术
B-ultrasound
Upper ureteral calculus
Percutaneous nephrolithotomy