腹腔镜外科杂志2013，Vol.18Issue(7)：497-499,3.
术中超声与X线定位下经皮肾镜取石术治疗肾结石的对比研究
The comparative analysis of ultrasound and X-ray guided percutaneous nephrolithotomy in the treatment of renal calculus
谌惠明 1李永生 2徐跃光1
作者信息
- 1. 益阳市第四人民医院,湖南益阳,413000
- 2. 福建医科大学附属协和医院
- 折叠
摘要
Abstract
Objective:To compare and analyze the clinical efficacy and complications of ultrasound and X-ray guided percutaneous nephrolithotomy in the treatment of kidney calculi.Methods:The clinical data of 532 adult patients who suffered from kidney calculi and underwent percutaneous nephrolithotomy from Jun.2007 to Jun.2012 were retrospectively analyzed.Time of establishment of renal track,the success rate of one-time puncture,time of X-ray exposure,rate of stone clearance,blood loss,rate of serious complications were observed and compared between ultrasound and X-ray guided percutaneous nephrolithotomy.Results:Time of renal track establishment in X-ray group was (7.9 ± 0.6) min,ultrasound group was (4.3 ± 0.4) min with statistically significant difference (P ＜0.01) ;the success rate of one-time puncture in X-ray group was 81.3％ and ultrasound group was 87.6％,with statistically significant difference (P ＜ 0.05) ; blood loss in X-ray group was (134 ± 12) ml and ultrasound group was (97 ± 9) ml with statistically significant difference (P ＜ 0.05) ; average time of X-ray exposure in X-ray group was (4.9 ± 1.3) min,which in ultrasound group was 0 min.Differences in rate of stone clearance and serious complications were not statistically significant (P ＞ 0.05).Conclusions:Ultrasoundguided percutaneous nephrolithotomy is easier,safer and more reliable with higher success rate than X-ray guided percutaneous nephrolithotomy.The learning curve of ultrasound-guided procedure is longer,the speed and effect of operation can be improved after systematic acquaintance of the ultrasound principle and accurate positioning.关键词
肾结石/肾造口术,经皮/超声检查/X线Key words
Kidney calculi / Nephrostomy, percutaneous / Ultrasonography / X-rays分类
医药卫生引用本文复制引用
谌惠明,李永生,徐跃光..术中超声与X线定位下经皮肾镜取石术治疗肾结石的对比研究[J].腹腔镜外科杂志,2013,18(7):497-499,3.
