中国内镜杂志2018，Vol.24Issue(5)：99-102,4.DOI:10.3969/j.issn.1007-1989.2018.05.018
B超引导钢针十字投影在经皮肾镜穿刺定位中的应用体会
Ultrasound-guided steel needle cross projection in percutaneous nephroscopy localization
陈德钢 1余洪波 1张桃福 1郝云武 1刘成益 1徐鹏程1
作者信息
- 1. 安徽医科大学附属六安医院(六安市人民医院) 泌尿外科,安徽 六安 237000
- 折叠
摘要
Abstract
Objective To evaluate the application value of ultrasound-guided steel needle cross projection in percutaneous nephroscopy localization for clinical treatment. Methods From July 2015 to July 2017, we selected 307 cases of percutaneous nephrolithotomy with ultrasonic stereoscopic precision positioning, stones are antipyroid stones, renal calculi multiple kidney stones, ESWL treatment failure, isolated kidney stones, renal pelvis and ureteral junction (UPJ) obstruction with stones, open stone surgery recurrence, upper ureteral stones and so on. Refer to preoperative CT and KUB+IVP to determine the puncture angle and the puncture of the calyx. Then, in the ultrasonic stereo precise positioning to select the first mark line and the second mark line, two-line intersection for the final puncture point, this point with the first mark point connection with the vertical axis of the kidney.Finally, at the end of the puncture point in the ultrasonic stereo precise probe under the guidance of the probe to adjust the target angle of the calyx puncture. Results Of the 307 patients, 281 were 1 ~ 2 successful punctures, 21 were 3 ~ 5 times. The total success rate was 98.4% (302/307). 5 cases of small incision were separated to the kidney weeks under the guidance of the fingers.1 case of bleeding after 2 days (by selective renal artery embolization to stop bleeding).The net rate of calculi was 95.8% (294/307) and 13 residual stones were less than 0.5 cm. Conclusions The application of ultrasonic stereoscopic accurate positioning in percutaneous nephroscopy is safe and effective, and the localization method is refined and easy to be promoted.关键词
上尿路结石/B超/立体精准定位/穿刺/经皮肾镜Key words
upper urinary calculus/ultrasound/stereoscopic precision positioning/puncture/percutaneous nephroscope分类
医药卫生引用本文复制引用
陈德钢,余洪波,张桃福,郝云武,刘成益,徐鹏程..B超引导钢针十字投影在经皮肾镜穿刺定位中的应用体会[J].中国内镜杂志,2018,24(5):99-102,4.
