B超引导下猪经皮肾镜通道的建立  

The research of establishing channels in percutaneous nephrolithotomy of pigs by B-ultrasound

作　　者：龙平华 杨秀江 阮定红 邱明 姜道彬 窦建国 伍建平 吴若愚 吴小候[2] 

机构地区：[1]重庆市大足县人民医院,402360 [2]重庆医科大学附属第一医院泌尿外科,400016

出　　处：《重庆医学》2012年第2期158-159,162,共3页Chongqing medicine

基　　金：重庆市卫生局2010年医学科研基金资助项目(2010-2-440)

摘　　要：目的探讨B超引导下猪经皮肾镜术(PCNL)经皮肾通道的建立。方法对18只雌性荣昌猪行经皮肾镜术,根据皮肾通道大小随机分为3组:F16组、F24组、F30组,每组6只,比较各组建立经皮肾通道的时间及术中出血量的差异。结果成功建立猪经皮肾通道16只,各组分别为5只、5只和6只。F16组、F24组、F30组建立经皮肾通道的时间分别为(95.00±8.06)min、(99.60±5.55)min、(103.17±7.99)min。3组完成经皮肾通道建立所需时间比较差异无统计学意义(P>0.05)。F16组、F24组、F30组术中出血量分别为(22.40±4.56)mL、(25.00±5.24)mL、(20.50±7.87)mL,3组术中出血量比较差异无统计学意义(P>0.05)。结论实验组成功建立了猪经皮肾通道,关键在于能够准确找到猪尿道口、输尿管口及穿刺肾脏,建立通道所需时间和术中出血量与通道大小无明显关系。Objective To investigate establishing channels in percutaneous nephrolithotomy of pigs by B-ultrasound.Methods Operating on 18 female Rongchang pigs in percutaneous nephrolithotomy.According to the size of channels,they were divided into three groups of six pigs：F16,F24,F30.Comparing the time difference of establishing channels in percutaneous nephrolithotomy and surgery blood loss in the three groups.Results The channels in percutaneous nephrolithotomy of pigs were established successfully in 16 cases.All were 5 cases,5 cases and 6 cases.The time of group F16,group F24 and group F30 were（95.00±8.06） min,（99.60±5.55） min,（103.17±7.99） min.It was no significant difference（P0.05）.The surgery blood loss of group F16,F24,F30 were（22.40±4.56）mL,（25.00±5.24）mL,（20.50±7.87）mL.It was no significant difference（P0.05）.Conclusion We successfully established channels in percutaneous nephrolithotomy of pigs.The key is the ability to accurately find the pig urethra,ureteral orifice and puncture the kidney.The time of establishing channels in percutaneous nephrolithotomy and surgery blood loss are none of size of channels.

关 键 词：B超 经皮肾镜术 膀胱插管 输尿管插管 

分 类 号：R699[医药卫生—泌尿科学]