Non-frame ultrasound-guided puncture percutaneous ureteroscopy in the establishment of the value of micro-channel.docVIP

 PAGE \* MERGEFORMAT 12 Non-frame ultrasound-guided puncture percutaneous ureteroscopy in the establishment of the value of micro-channel Author: Land-Sea-Juan Chen Ruilin Zhonghui Qin Wu Xiaohui Keywords: pneumatic With the pneumatic lithotripsy device such as the progress of endovascular, percutaneous ureteroscopy in the treatment of upper urinary tract stones in the broader application of percutaneous ureteroscopic the establishment of operating channels is particularly important. From October 2006 to October 2007, the author in the absence of ultrasound-guided puncture frame established under the micro-channel percutaneous ureteroscopy in 28 cases, a success rate of 100%, are reported below. 1 Data and methods 1.1 General Information The group of 28 patients, male 21 cases, 7 females; aged 34 to 61 years old, with an average 43.7 years of age. Preoperative diagnosis of kidney stones and / or upper ureteral stones, stone diameter of 12 ~ 34mm, an average of 24mm; severe hydronephrosis in 1, moderate in 15 cases, mild in 11 cases, no water 1 case; 2 patients received recent Guo vitro lithotripsy, but the stones can not leach out; clinical manifestations were hematuria, flank pain, etc.; preoperative systemic bleeding disorder were excluded. 1.2 Methods Using Sonosite Titan portable color Doppler ultrasound device, convex array probe frequency of 3.5 ~ 5.5MHz; ureteroscopy (Germany WOLF-2290); 18G needle, renal micropuncture dilator (F8 ~ 16), and F3.5 Zebra guide wire. Patients undergoing general anesthesia, cystoscopy or ureteroscopy via indwelling a ureteral catheter in the affected side, external fixation, and indwelling catheterization; and then take prone position, waist booster; use disposable sterile probe wrapped Sticking to the two residual air is not fit to replace the coupling agent iodophor. Echogenic renal ultrasound to determine the location of clumps, as well as the size, quantity, number of ob