摘要
目的 探讨彩色多普勒超声引导在建立经皮肾镜取石术工作通道中的应用价值.方法 应用彩色多普勒超声引导对152例（180个）肾或伴输尿管起始段结石患者,建立经皮肾镜工作通道后,行经皮肾镜取石碎石术.结果 166个肾脏均建立理想的操作通道,无胸膜损伤、腹腔脏器损伤、无肾脏穿通伤等并发症.定位造瘘成功率为92%（166/180）.结论 超声引导穿刺可以为经皮肾镜碎石取石术提供实时、安全、准确的工作通道,对经皮肾镜治疗上尿路结石具有决定性价值.
Objective To explore the clinical value of applying the ultrasound guidance for. Method 152 patients （ 180 kidneys） or combined with stones at the beginning section of ureter was treated under the ultrasound guide： after the working tunnel was established, the （minimally percutaneous nephrolithotfipsy, MPCNL）was applied, Results Satisfactory working tunnels were established in 166 kidneys, no complications such as injury of pleura, abdominal organs or penetrating wound in kidneys were found. Successful rate of The located stoma were 92% （ 166/180 ）. Conclusions Ultrasound guidance can puncture can provide a reahime, safe and accurate working tunnel for MPCNL and it play an very important role for upper lithangiuria under percutaneous nephroscope.
出处
《浙江临床医学》
2012年第1期24-26,共3页
Zhejiang Clinical Medical Journal
关键词
肾结石
输尿管结石
超声引导
工作通道经
皮肾镜取石术
Kidney stone Ureteral calculus ultrasonic guidance Working tunnel Percutaneous nephrolithotfipsy
