彩色多普勒超声引导在经皮肾镜治疗肾结石中的应用  

The application of color doppler ultrasound in percutaneous nephrolithotomy

作　　者：吴明晓[1] 陈秀华[1] 蒋文莉[1] 郭发金[1] 金滨[2] 钟晨阳[2] 

机构地区：[1]卫生部北京医院超声科,北京100730 [2]卫生部北京医院泌尿外科,北京100730

出　　处：《中国临床保健杂志》2011年第4期341-343,I0001,共4页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨彩色多普勒超声引导下经皮肾镜术对肾结石的治疗价值。方法对38例肾结石患者在彩色多普勒超声引导下确定最佳穿刺路径;建立经皮肾穿刺通道,行经皮肾镜超声弹道碎石治疗。对手术时间、结石清除率、手术并发症等临床资料进行回顾性分析。结果 37例患者在超声引导下一期成功建立皮肤肾脏通路,成功取石。手术时间50～160 min,平均95 min,无气胸、腹腔脏器损伤等严重并发症发生,术后随防2～3个月,未见结石复发。1例因出血较多改择期手术。结论超声引导下行经皮肾镜治疗肾结石是一种简单安全、创伤小、痛苦少、成功率高,术后恢复快、疗效可靠的方法。Objective To investigate the value of color doppler ultrasound in monitoring percutaneous nephrolithotripsy.Methods Thirty-eight patients with renal calculus under color doppler ultrasound from Oct.2009 to Oct.2010 in order to choose an optimal percutaneous approach.The channel of percutaneous renal biopsy was constituted.All the patients were performed with MPCNL.Retrospective analysis was performed for the clinical data such as operation time,stone clearance rate and complications.Results 37-case operations were successful and the exact location of kidney calculi was clearly showed by color doppler ultrasound.The operation time was between 50 and 160 minutes,with mean 95 minutes.After 2 or 3 months,no calculus recured.One case was changed for elective surgery.Conclusions The combined pneumatic and ultrasound location appears to be efficacious and safe for disintegrating and removing renal calculi.

关 键 词：肾结石 肾造口术 经皮 超声检查 多普勒 彩色 

分 类 号：R445.1[医药卫生—影像医学与核医学] R692.4[医药卫生—诊断学]