B超联合X线双定位微创经皮肾碎石取石术治疗上尿路结石.docxVIP

B超联合X线双定位微创经皮肾碎石取石术 治疗上尿路结石 【摘要】目的：探讨B超联合X线双定位在微创经 皮肾镜碎石取石术中的临床疗效。方法：选取2010年8月 -2012年10月收治的159例上尿路结石患者，采用联合B超 和X线C臂定位，行微创经皮肾碎石取石术。结果：159例 均穿刺成功，并建立微通道。手术时间(68±20) min,出 血量(92±36) mlo 一次结石碎石率97% (154/159), 一次 结石清除率89%(141/159)o术后感染发热10例，输血2例, 无胸膜和肠道损伤等严重并发症发生。结论：B超联合X线 双定位具有术中定位准确、扩张时可以准确监测扩张方向和 深度等优势。行经皮肾碎石取石术安全、微创、有效，适合 在具有一定医疗设备和技术的基层医院推广。 【关键词】经皮肾镜碎石取石术；超声；X线；尿 路结石 中图分类号R691. 4文献标识码B文章编号 1674-6805 (2014) 12-0011-02 Combined B-ultrasound and X-ray Guided Minimally Invasive Percutaneous Nephrolithotomy in Upper Urinary Tract Calculus/WANG Tao, ZHANG Yu, ZHONG Guang-hui, et al. //Chinese and Foreign Medical Research, 2014, 12 (12)： 11-12 [Abstract】 Objective： To investigate the clinical therapeutic effect of combined B-ultrasound and X-ray guided minimally invasive percutaneous nephrolithotomy (MPCNL ) in the treatment of renal pelvic and upper ureteral calculi.Method： 159 cases with upper urinary tract calculi admitted to our department of urinary surgery from August 2010 to October 2012 were given MPCNL using combined B-ultrasound and X-ray guided localizaticrn. ResuIt： Renal punctures were successful and micro-channels established in all patients. 0perative time was (68±20) min, blood loss was (92±36) ml； the success rate of fragmentation on 1 session was 97% (154/159) and stone clearance rate was 89% (141/159)? 10 cases had postoperative urinary tract infection； 2 cases had blood transfusion, and no severe complica.tions such as pleural and intestinal damage occurred .Conclusion： Combined B-ultrasound and X-ray localization is advantage in localization accuracy and accurate monitoring of extensive direction and depth?MPCNL is safe, minimally invasive and effective, it is worthgeneralizing in basic level hospital with some medical equipments and technology. 【Key words 】 Percutaneous nephrolithotomy ； Ultrasonography； X-ray； Urinary calculi First-author? s address： Fift h Aff ilia ted Hosp ital of Nanfang Medical College, Guangzhou 510950, Chi rm 经皮肾镜碎石取石术(percu