四种穿刺方法建立经皮肾通道行经皮肾镜取石术治疗上尿路结石116例报告  

Developing renal tract for percutaneaous nephrolithotomy by 4 different ways

作　　者：曹国灿[1] 胡少群[1] 吴志坚[1] 陈弟荣[1] 付发军[1] 曹阳[1] 

机构地区：[1]郴州市第一人民医院泌尿外科,湖南郴州423000

出　　处：《临床泌尿外科杂志》2004年第6期328-329,共2页Journal of Clinical Urology

摘　　要：目的 :评价不同穿刺方法建立经皮肾通道的优缺点。方法 :对 116例上尿路结石患者采用不同穿刺方法建立经皮肾通道 ,其中采用C臂X线机定位穿刺 6 5例 ,B超定位穿刺 35例 ,盲穿刺 16例 ,小切口手指引导穿刺 4例。结果 :成功建立通道 112例 ,改行开放手术 4例。结石残留率为 15 .2 %。术后平均住院天数为 6 .5d。结论 :各种定位穿刺方法各有优缺点 ,可根据患者具体情况进行选择。Purpose:To assess the feasibility and available of 4 different ways to develop renal tract percutaneous nephrolithotomy.Method:116 cases with calculus of upper urinary tract were reported. 65 cases were established the renal tract of percutaneous nephrolithotomy guided by the portable fluoroscopic imaging system, and 35 cases by ultrasound B. 16 cases were established the renal tract of percutaneous nephrolithotomy by direct puncture, and 4 cases were established the renal tract of percutaneous nephrolithotomy by a small incisions.Result:112 cases were successfully established the renal tract of percutaneous nephrolithotomy, and 4 cases were failed. The rate of residual stone was 15.2. The average length of stay is 6.5 days.Conclusion:The different way can be used in different situation.

关 键 词：尿路结石 B超 C臂X线机 经皮肾镜 

分 类 号：R691.4[医药卫生—泌尿科学]