期刊文献+

B超定位在X线不显影的阴性上尿路结石患者中的应用效果观察 被引量:1

Clinical Therapeutic Effect of B- ultrasound Guided Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Upper Ureteral Radioparentcalculus
下载PDF
导出
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.
作者 谢银芳
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
  • 相关文献

参考文献9

二级参考文献38

  • 1叶章群.泌尿系结石研究现况与展望[J].中华实验外科杂志,2005,22(3):261-262. 被引量:268
  • 2李逊,曾国华,刘建河,何永忠,何朝辉,戚德峰.经后中组肾盏径路行微创经皮肾取石治疗复杂性肾结石[J].临床泌尿外科杂志,2005,20(3):147-149. 被引量:147
  • 3袁坚,吴开俊.经皮肾镜术并发大出血16例报告[J].中华泌尿外科杂志,1995,16(9):530-531. 被引量:103
  • 4李逊.经皮肾镜术[J].临床泌尿外科杂志,1996,11(6):365-367. 被引量:47
  • 5吴阶平.泌尿外科[M].山东:山东科学技术出版社,1996.593,287.
  • 6郭应禄.腔内泌尿外科[M].2版.北京:人民军医出版社,1995:197-198.
  • 7Lahme S,Bichler K H,Strohmaier W I.,et al. Minimally Invasive PCNL in Patients with Renal Pelvic and Calyceal Stones [J].Eur Urol , 2001,40 : 619-624.
  • 8Srivastava A,Singh K J,Suri A, et al. Vascular Complications after Percutaneous Nephrolithotomy: are there arty Predictive Factors? [J].Urology,2005,66(1):38-40.
  • 9[1]Khader E,Karmouni T,Ghorfi M N, et al. Our results with percutaneous nephrolithotomy. Report of 61 cases. Ann Urol, 2000, 34:398-401.
  • 10[2]Zegel H G, Pollack M, Koolpe H, et al. Percutaneous nephrostomy: comparison of sonographic and fluoro-scopic guidance. Am J Radiol, 1981, 137:925-927.

共引文献270

同被引文献8

引证文献1

二级引证文献4

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部