摘要
目的评价术前超声定位在经皮肾输尿管镜取石术的价值。方法112例肾结石病例随机分成两组,实验组58例,术前B超定位并标记,术中结合C臂定位穿刺建立通道。对照组54例,采用传统的C臂机下定位穿刺。结果实验组建立通道60个,对照组建立通道58个。实验组手术人员暴露X线下时间为(16±4)s,低于对照组的(54±10)s(P<0.05),一期取石成功率为100%,高于对照组(90.74%)(P<0.01)。对照组2例改开放手术,3例由于损伤集合系统,术中出血严重,改二期取石。结论术前B超定位标记,术中结合C臂穿刺建立经皮肾穿刺通道安全,手术人员接触放射线时间缩短,一期取石率高,适于基层医院应用。
Objective To assess the value of preoperative ultrasonic location for percutaneous nephrolithotomy. Methods 112 patients with kidney caculi underwent micro-percutaneous nephrolithotomy （mPC- NL） were randomly divided into two groups. Experimental group（58 eases） underwent preoperative ultrasonic location combined with intraoperative C-arm X-ray location. Control group （ 54 cases） underwent puncture location under C-ann X-ray in the operation. Results There were 60 caculi removal tunnels in experiment group and 58 in control group. In experiment group, the mean exposure time to X-ray was （ 16 ±4）s and significantly lower than （54 ±10） s of control group （ P 〈 0.05 ） ; and the success rate of first stage operation was 100% which was remarkablely higher than 90.74% of control group. In control group, 2 cases conversed to open operation, and 3 cases with severe bleeding received secondary operation because of collecting system injury. Conclusions Preoperative ultrasonic location combined with intraoperative C-ann X-ray location is safe and recommendable for primary hospital with less X-ray exposure time and higher stone removal rate of fist stage.
出处
《中国现代手术学杂志》
2007年第3期221-222,共2页
Chinese Journal of Modern Operative Surgery
关键词
肾造口术
经皮
输尿管镜检查
肾结石
碎石术
nephrostomy, percutaneous
ureteroscopy
kidney calculi
lithotripsy
