CTU在微通道经皮肾镜取石术中的应用价值探讨  

Value of the application of CTU in mini-PCNL

作　　者：许祥[1] 熊林[1] 姜奕[1] 卢振权[1] 罗光彦 

机构地区：[1]香港大学深圳医院泌尿外科,广东深圳518000

出　　处：《临床泌尿外科杂志》2017年第8期635-638,641,共5页Journal of Clinical Urology

摘　　要：目的:评估术前CTU在微通道经皮肾镜取石术(Mini-PCNL)中的临床价值。方法:收集2013年12月~2016年6月采用Mini-PCNL治疗的115例患者的临床资料并进行回顾性分析,根据术前影像学检查将患者分为CTU组和CT平扫组。比较两组患者手术时间、住院时间、术后结石清除率、出血等并发症并进行统计分析。结果:CTU组60例,CT平扫组55例。CTU组血红蛋白下降值明显低于CT平扫组[(3.67±2.27)g/L vs.(5.86±3.33)g/L],差异有统计学意义(P<0.05)。CTU组在手术时间[(100.63±18.26)min vs.(105.50±15.37)min],住院时间[(11.57±2.78)d vs.(12.39±2.85)d],一期结石清除率(81.6%vs.72.7%),二期结石清除率(91.6%vs.89.1%)等方面与CT平扫组相比较,差异均无统计学意义(P>0.05)。结论:采用CTU术前定位并结合术中彩超引导穿刺能减少PCNL术中出血量,在肾结石的治疗中具有较明显的有效性及安全性。Objective：To evaluate the clinical value of computed tomography urography（CTU）in mini-percutaneous nephrolithotripsy（PCNL）.Method：From December 2013 to June 2016,115 patients with renal or ureteral calculi were treated with mini-PCNL.Sixty patients received CTU.Fifty-five patients received non-contrast CT.The complications and the clinical characteristics of the patients were recorded.We compared the efficacy and complication between the two groups.Result：There was significant statistical difference in hemoglobin drop [CTU group（3.67±2.27）g/L vs.non-contrast CT group（5.86±3.33）g/L]（P〈0.05）.However,no significant statistical difference in operation time [（100.63±18.26）min vs.（105.50±15.37）min],hospital stay [（11.57±2.78）d vs.（12.39±2.85）d],one stage stone clearance rate（81.6% vs 72.7%）,second stage stone clearance rate（91.6% vs 89.1%）was found（P〉0.05）.Conclusion：The patients who received CTU prior to mini-PCNL experience lower drop of hemoglobin.The results suggest that the use of CTU prior to mini-PCNL is effective and safe.

关 键 词：CTU 微通道 经皮肾镜取石术 穿刺 

分 类 号：R699.1[医药卫生—泌尿科学]