超声和X线引导穿刺行经皮肾镜取石术的比较  

Comparative analysis of percutaneous nephrolithotomy with B ultrasound and X-ray guided puncture in treatment of kidney calculi

作　　者：朱震平[1] 狄金明[2] 

机构地区：[1]广东省农垦中心医院,广东湛江524002 [2]中山大学附属第三医院泌尿外科,广州510630

出　　处：《中华腔镜泌尿外科杂志（电子版）》2013年第3期43-45,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨超声引导和X线引导穿刺在经皮肾镜取石术(PCNL)中的疗效及安全性。方法回顾性分析2006年6月至2012年6月我院采用PCNL治疗肾结石516例患者资料,分别采用超声引导穿刺(260例)和X线引导穿刺(256例)两种不同方式建立经皮肾通道。对两组的住院时间、手术时间、平均出血量、结石清除率及并发症发生率等指标进行比较。结果与X线组相比,超声组的平均出血量及并发症发生率比X线组少,差异具有统计学意义(P<0.05);而两组在手术时间和结石清除率方面的差异无统计学意义(P>0.05)。结论 X线及超声两种穿刺引导下的PCNL术均具有穿刺准确性好、穿刺效率高、并发症少等的优点,手术安全、有效、微创,值得在基层医院推广。Objective To evaluate the efficacy and safety of B-US guided and X-ray guided percutaneous nephrolithotomy （PCNL） in treatment of kidney calculi. Methods The data of 516 patients with kidney calculi received PCNL in our hospital from June, 2006 to June, 2012 were collected and analyzed retrospectively, in which 260 cases were guided by B uhrasound（B-US）, and 256 cases by X-ray. The clinical parameters including mean hospital stay, average operative duration, blood loss, stone clearance rate, and complication were compared in two groups. Results All operation were performed successfully. The blood loss and complication were significantly lower in B-US than those in X-ray （P〈0.05）. However, the average operative duration and stone clearance rate were not significantly different （P 〉0.05）. Conclusions Both B-US guided and X-ray guided PCNL are safe, effective and minimally invasive treatment methods with good accuracy, high successful puncture rate, and hypo-complications, and are worth launching in primary hospitals.

关 键 词：超声引导穿刺 X线引导穿刺 PCNL 上尿路结石 

分 类 号：R692.4[医药卫生—泌尿科学]