SniGPS影像穿刺定位在脊柱畸形伴上尿路结石中的临床应用.docVIP

SonixGPS影像穿刺定位在脊柱畸形伴上尿路结石中的临床应用 ［ ］H的探?SonixGPS影像穿刺定位系统在经皮肾镜治疗脊柱 畸形伴上尿路结石患者的安全性及有效性。方法从2014年1月?2016 年1月，我院共收集脊柱畸形伴上尿路结石患者60例，男35例，女 25例，平均年龄57.3 （44?77）岁。所有患者均经B超、KUB、CT 检查确诊为脊柱畸形伴上尿路结石。按照穿刺方法将患者随机分为 SonixGPS影像穿刺和B超定位穿刺法，比较并分析两组穿刺方法对患 者术后血液动力学变化和肾功能的变化。结果SonixGPS影像穿刺组 患者均一次穿刺成功并行一期碎石，手术时间35?120min，平均 55min,经皮肾穿刺时间2?15min，平均6min。术中术后未出现大出 血、肠道损伤、气胸等并发症。SonixGPS影像穿刺组的患者碎石后， 血液动力学变化如血红蛋白、红细胞压积和血氧饱和度以及术后贤功 能的变化均优于常规B超定位穿刺组，两组间差异具有统计学意义 （P〈0.05）。结论SonixGPS影像穿刺定位系统可精准地看到穿刺针在 组织中的穿刺轨迹，缩短了术中穿刺的时间。与常规B超穿刺法相比， 脊柱畸形伴上尿路结石患者采用SonixGPS影像穿刺法降低了术后并 发症的发生，值得在临床推广应用。 ，供学习和研宄 使用， 和著作权归原 所有， 己 ［关键词］脊柱畸形；肾结石；经皮肾镜取石术；超声引导 ［ ］R693 ［ ］A ［ ］2095-0616 (2017) 09-20-05 Clinical application of SonixGPS image puncture location in spinal deformity accompanied by upper urinary calculi LU Suilin QI Defeng LIU Guanzhao ZENG Guohua Department of Urinary Surgery , the First Affiliated Hospital of Guangzhou Medical University, Key Laboratory of Department of Urinary Surgery, Institute of Department of Urinary Surgery, Guangzhou 510120， China ［Abstract］ Objective To explore the safety and effectiveness of SonixGPS image puncture location system in treatment of patients with spinal deformity accompanied by upper urinary calculi under percutaneous nephroscope. Methods 60 patients with spinal deformity accompanied by upper urinary calculi from January 2014 to January 2016 in our hospital were col 1 ected. Of whom, there were 35 male cases and 25 female cases， with the average age of 57. 3(44-77). All patients were diagnosed as spinal deformity accompanied by tipper urinary calculi by B ultrasound, KUB and CT. Patients were randomly divided into the SonixGPS image puncture and B ultrasound located puncture method according to puncture methods. Effects of puncture methods on postoperative hemodynamics and renal function of patients were compared and analyzed. Results Patients in the SonixGPS image puncture group were punctured successfully in one time and underwent one stage lithotripsy. Operative ti