河北医学2011，Vol.17Issue(1)：42-44,3.DOI:10.3969/j.issn.1006-6233.2011.01.015
非同步16排CT联合 B超定位微创经皮肾穿刺取石术治疗上尿路结石
The Treatment of Upper Urinary Calculus with Minimally Invasive Percutaneous Nephrolithotomy Under the Guidance of Asynchronous 16-slice Spiral CT Combined B-ultrasound Localization
黄敏志 1黄裕清 1余自强 1邹火生 1李健 1钟凯华1
作者信息
- 1. 广东省梅州市人民医院泌尿外二科,广东梅州,514031
- 折叠
摘要
Abstract
Objective: To evaluate the feasibility and the clinical outcomes of minimally invasive percutaneous nephrolithotomy（ MPCNL ) with asynchronous 16-slice spiral CT combined B-ultrasound localization to establish percutaneous access in the treatment of upper urinary calculus. Method: 150 cases of unilateral kidney or land) ureteral stones underwere MPCNL under the guidance of asynchronous 16-slice spiral CT combined B-ultrasound localization were retrospectively analyzed. Result: 150 cases established percutaneous access successfully in first operation, and the overrall rate of fragmentation for upper urinary calculus was 98％. The stage 2 lithotripsy was carried in 3 cases. The mean operative time was 88min;mean blood loss was 50mL;Conversion to open surgery does not appear;No perioperative severe complications such as hemorrhoea and blood transfusion, ureteral perforation, pneumatothorax and Pleural effusion,ascites, trauma of abdominal organ occurred. Conclusion: MPCNL with asynchronous 16-slice spiral CT combined B-ultrasound localization is a feasible, safe and highly effective therapy for the treatment of upper urinary calculus. It has high clinical Application value.关键词
微创经皮肾穿刺取石术/上尿路结石/16排螺旋CT/B超Key words
Minimally invasive pereutaneous nephrolithotomy/ Upper urinary calculus/ 16-slice spiral CT/ B-ultrasound引用本文复制引用
黄敏志,黄裕清,余自强,邹火生,李健,钟凯华..非同步16排CT联合 B超定位微创经皮肾穿刺取石术治疗上尿路结石[J].河北医学,2011,17(1):42-44,3.
