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岭南现代临床外科 ›› 2016, Vol. 16 ›› Issue (06): 731-735.DOI: 10.3969/j.issn.1009-976X.2016.06.024

• 论著与临床研究 • 上一篇    下一篇

不同方法引导下建立经皮肾通道治疗无明显积水肾结石的临床研究

黄韬 龙兆麟 吴世皓 华庆生 刘志乐 陈远祥 张信基 曾任创   

  1. 南方医科大学附属顺德第一人民医院
  • 通讯作者: 黄韬
  • 基金资助:

    佛山市医学科学技术应用研究

A clinical study of establishing percutaneous renal access guided by different methods for the treatment of kidney stones without uronephrosis

HUANG Tao,LONG Zhaolin,WU Shihao,HUA Qingsheng,LIU Zhile,CHEN Yuanyang,ZHANG Xinji,ZENG Renchuang   

  • Online:2016-12-20 Published:2016-12-20
  • Supported by:

    Application Research on Medical Science and Technology of Foshan City

摘要: 【摘要】目的比较C臂X光、B超凸阵探头及B超穿刺探头引导在经皮肾穿刺的成功率和穿刺效果。方法回顾性分析行经皮肾镜取石术的138例无明显积水肾结石患者的临床资料,根据经皮肾穿刺时采用的引导方法分为C臂X光组(46例)、B超凸阵探头组(46例)和B超穿刺探头组(46例),比较不同方法引导经皮肾穿刺的成功率及效果。结果138例均成功地建立了通道,B超穿刺探头组1次穿刺成功率67.39%,≤2次穿刺成功率89.13%,高于B超凸阵探头组和C臂X光组(P<0.05);B超穿刺探头组平均穿刺次数最少;B超穿刺探头组有41例(89.13%)经肾盏穹窿部进入,穿刺效果优于B超凸阵探头组和C臂X光组(P<0.05)。结论B超穿刺探头用于经皮肾穿刺的实时引导,成功率较高,穿刺效果较好,方便实用。

关键词: 经皮肾镜取石术, X光, B超穿刺探头, 引导穿刺, B超凸阵探头

Abstract: 【Abstract】 Objective To compare the success rate and effectiveness of C-arm X-ray, B-convex array probe and probe B-guided percutaneous renal puncture. Methods A clinical data of 138 patients suffering from kidney stones and undergoing percutaneous nephrolithotomy lithotripsy were retrospectively analyzed. The patients were assigned to the X-ray-guided puncture group(n=46), B ultrasound convex array probe-guided group (n=46) and B-ultrasound-guided puncture group (n=46) according to the different puncture methods to the kidneys. The success rate and effectiveness were compared between the three different methods of percutaneous puncture. Results All patients were successfully established a channel within the kidneys. One-time success rate of probe B-guided puncture group was 67.39%, ≤2 puncture success rate was 89.13%, and they were higher than that of either the B-convex array probe-guided puncture group or X-ray-guided puncture group. The differences were statistically significant(P<0.05)and the average number of puncture done by B-guided puncture probe was less than the other two groups. Forty-one(89.13%)of cases in the probe B-guided puncture group performed the procedure by calyx into the fornix and the puncture effectiveness was better than the other two groups (P<0.05). Conclusion B-puncture probe used by the real-time guided percutaneous renal puncture shows better efficacy than X ray-guided, B-convex array probe-guided percutaneous renal puncture.

Key words: B-convex array probe-guided, Percutaneous nephrolithotomy, Probe B-guided puncture, X-ray-guided, Guided puncture

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