中外医学研究Issue(12):11-12,2.
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
Combined B-ultrasound and X-ray Guided Minimally Invasive Percutaneous Nephrolithotomy in Upper Urinary Tract Calculus
王涛 1张瑜 1钟光辉 1吴大力 1陈海平 1晏凌飞1
作者信息
- 1. 南方医科大学第五附属医院 广东 广州 510950
- 折叠
摘要
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 localization.Result:Renal punctures were successful and micro-channels established in all patients.Operative 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 complications 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.关键词
经皮肾镜碎石取石术/超声/X线/尿路结石Key words
Percutaneous nephrolithotomy/Ultrasonography/X-ray/Urinary calculi分类
医药卫生引用本文复制引用
王涛,张瑜,钟光辉,吴大力,陈海平,晏凌飞..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[J].中外医学研究,2014,(12):11-12,2.