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

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