超声监测经皮肾镜碎石术的意义  

Monitoring Percutaneous Nephrolithotripsy by Ultrasound

作　　者：苏光明[1] 吴勇军[1] 黄金山[1] 韩金安[1] 董晓明[1] 王玮[1] 祝莉[1] 

机构地区：[1]解放军第477医院特诊科,襄樊市441003

出　　处：《中国医学影像学杂志》2008年第3期208-211,共4页Chinese Journal of Medical Imaging

摘　　要：目的:探讨超声监测经皮肾镜碎石术的意义。材料和方法:对31例肾结石患者的经皮肾镜碎石术进行超声监测,分析和总结不同时期的声像图表现及其监测价值。结果:超声实时全程监测26例,5例改开放取石术。全程监测者术前声像图能清晰显示肾结石的位置,大小,肾积水的范围;术中声像图能显示穿刺和碎石过程中穿刺针针尖和气压弹道碎石机撞针前端强回声位置的改变以及肾、肾周回声的相关变化,即时引导穿刺和碎石;术后声像图能显示术后肾脏,肾周回声情况以及肾内有无结石残留。结论:超声能实时引导穿刺针的进入,提示气压弹道碎石机撞针前端位置及肾脏和肾周情况,观察术后有无结石残留,为临床降低手术风险、选择合适的治疗方式提供帮助。Purpose： The value of real-time ultrasound in monitoring percutaneous nephrolithotripsy was investigated. Materials and Methods： The sonographic findings in the process of monitoring percutaneous nephrolithotripsy in 31 cases were reviewed. Results： In 26 cases ultrasound monitoring proved successful percutaneous nerphrolithotripsy. The alternative regimen was undertaken for the other 5 cases. The sonography was useful in revealing the site and size of the stone, the status of involved collecting system, the position and path of the puncture needle, and guiding a proper operation. The change of the stone and the kidney could be illuminated immediately along with the detection of residual stone fragment. Conclusion： Ultrasonography was proved of value in guiding and monitoring percutaneous nephrolithotripsy and in reducing the risks of the operation.

关 键 词：经皮肾镜碎石术 肾结石 超声 监测 

分 类 号：R445.1[医药卫生—影像医学与核医学]