普通超声引导经皮肾镜取石术的效果分析  被引量:2

The effect analysis of the pereutaneous nephrolithotomy guided by ordinary ultrasound

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作  者:苏清华[1] 林浩群 刘建[1] 梁善玲 杨少伟[1] 王健[1] 

机构地区:[1]广东省东莞市黄江医院外二科,523750 [2]广东省东莞市黄江医院院感办,523750

出  处:《蚌埠医学院学报》2017年第1期78-80,共3页Journal of Bengbu Medical College

摘  要:目的:探讨普通超声引导经皮肾穿刺行经皮肾镜取石术(percutaneous nephrolithotomy,PCNL)的方法及效果。方法:利用普通超声引导经皮肾穿刺方法的改进,行PCNL 169例,对每处建立经皮肾通道的穿刺成功率、手术出血情况、术后并发症等进行回顾性分析。结果:169例患者建立经皮肾通道198处,穿刺成功率96.0%(190/198),8处术中寻找残余结石进行二次穿刺未成功,联合C-臂机穿刺成功;术后输血(200~400 m L)7例,无选择性肾动脉栓塞止血;胸腔积液18例,1例需闭式引流;术后发热11例,无感染性休克及不良预后发生;无肺脏及其他内脏损伤等严重并发症。结论:通过对普通超声引导经皮肾穿刺方法的改进,行PCNL操作简便、迅速、准确、经济,成功率高,可有效降低穿刺的难度,值得基层医院推广。Objective:To investigate the safety and clinical effects of the pereutaneous nephrolithotomy (PCNL) guided by ordinary ultrasound. Methods:One hundred and sixty patients treated with pereutaneous nephrolithotomy guided by ordinary ultrasound. The success puncture rate in percutaneous renal channel, bleeding and postoperative complications were retrospectively analyzed. Results: Total 198 channels were established in 169 cases. The success rate of puncture was 96.0% (190/198). The second puncture operation for looking for the residual stone was not successful, but the puncture combined with C-arm X-ray was successful. Seven patients with postoperative blood transfusion for 200 mL to 400 mL were treated with non-selective renal artery embolization. The pleural effusion in 18 cases were identified, and 1 case need to be closed drainage. The postoperative fever in 11 cases, no infectious shock, no poor prognosis ,and lungs and other visceral injury were found. Conclusions:The improved percutaneous renal punture guided by ordinary ultrasound in pereutaneous nephrolithotomy is simple, rapid, accurate, economic, high successful rate, which can effectively reduce the difficulty of puncture, and is worthy of promotion in primary hospitals.

关 键 词:经皮肾镜取石术 普通超声 穿刺 

分 类 号:R699[医药卫生—泌尿科学]

 

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