CT血管成像在经皮肾镜取石术中的应用价值  

Value of CT Angiography in Percutaneous Nephrolithotomy

作　　者：刘育明 何远超 孟祥军[3] LIU Yuming;HE Yuanchao;MENG Xiangjun(Daojiao Hospital of Dongguan City,Dongguan 523170,China)

机构地区：[1]广东省东莞市道滘医院,广东东莞523170 [2]广东省东莞市凤岗镇社区卫生服务中心 [3]广东省东莞市人民医院

出　　处：《中国医学创新》2018年第19期139-142,共4页Medical Innovation of China

摘　　要：目的:探讨CT血管成像在经皮肾镜取石术中的应用价值。方法:选取2013年6月-2017年6月本院行经皮肾镜取石术患者60例为研究对象,按住院先后顺序分为对照组(2013年6月-2015年5月)与观察组(2015年6月-2017年6月),每组30例。两组均行经皮肾镜取石术,术前常规行B超、静脉泌尿系造影及CT平扫检查,观察组在此基础上加行CT肾血管成像。比较两组手术时间、手术失血量、输血率、肾通道数目、住院时间、一次穿刺成功率、结石取净率及并发症发生率情况。结果:观察组手术时间、手术失血量、输血率均优于对照组,差异均有统计学意义(P<0.05)。两组肾通道数目比较,差异无统计学意义(P>0.05)。观察组住院时间短于对照组,一次穿刺成功率高于对照组,差异均有统计学意义(P<0.05)。两组结石取净率及并发症发生率比较,差异无统计学意义(P>0.05)。结论:经皮肾镜取石术能有效缩短手术时间、减少手术失血量及输血率,利于患者术后恢复。Objective:To evaluate the value of CT angiography in percutaneous nephrolithotomy.Method:A total of 60 cases underwent percutaneous nephrolithotomy in our hospital from June 2013 to June 2017 were randomly divided into control group(from June 2013 to May 2015)and observation group(from June 2015 to June 2017),30 cases in each group.All were treated by percutaneous nephrolithotomy,preoperative routine ultrasonography,intravenous urography and CT scan examination,the observation group was treated by CT renal angiography on the basis of above.The operative time,operative blood loss,blood transfusion rate,number of renal channels,hospitalization time,success rate of puncture,calculi clearance rate and incidence of complications were compared between the two groups.Result:The operation time,blood loss,blood transfusion rate of the observation group were better than those of the control group,the differences were statistically significant(P<0.05).There was no statistically significant in the number of renal channel of the two groups(P>0.05).The hospitalization time of the observation group was shorter than that the control group,the success rate of puncture was higher than the control group,the differences were statistically significant(P<0.05).There were no statistically significant in the stone clearance rate and complication rate of the two groups(P>0.05).Conclusion:The percutaneous nephrolithotomy can effectively shorten operation time,reduce the intraoperative blood loss and blood transfusion rate for patients with postoperative recovery.

关 键 词：螺旋CT 血管成像 经皮肾镜取石术 结石 

分 类 号：R699[医药卫生—泌尿科学]