CAJ | 학술논문

目的比较超声和C臂X线引导下建立经皮肾取石通路的疗效.方法分析2008年1月至2008年10月完成的经皮肾镜手术,排除上尿路解剖异常,超声引导定位穿刺30例(超声组),男16例,女14例,平均年龄(45±12)岁;C型臂X线定位穿刺30例(X线组),男18例,女12例,平均年龄(44±13)岁.结果两组建立通道所需时间分别为(13±3)min和(22±4)min(P<0.01),穿刺成功率分别为96.7%和93.3%(P=0.554),一次穿刺成功率分别为86.7%和60.0%(P=0.02).结论超声引导定位建立经皮肾取石通路较x线优越,且无放射伤害.
목적 비교초성화C비X선인도하건립경피신취석통로적료효.방법 분석2008년1월지2008년10월완성적경피신경수술,배제상뇨로해부이상,초성인도정위천자30례(초성조),남16례,녀14례,평균년령(45±12)세;C형비X선정위천자30례(X선조),남18례,녀12례,평균년령(44±13)세.결과 량조건립통도소수시간분별위(13±3)min화(22±4)min(P<0.01),천자성공솔분별위96.7%화93.3%(P=0.554),일차천자성공솔분별위86.7%화60.0%(P=0.02).결론 초성인도정위건립경피신취석통로교x선우월,차무방사상해.
Objective To compare the clinical efficacy of ultrasound and C - arm X - ray in establishing percutaneous nephrolithotomy aisles. Methods Sixty cases percutaneous nephrolithotomy operations, excepting upper urinary tract anatomy abnormality, were analyzed from January 2008 to October 2008. Of the 30 cases were located by ultrasound (ultrasound group) , 16 males and 14 females, the average age was 45 ～ 12. And 30 cases were located by C - ann X - ray (X - ray group) , 18 males and 12 females, the average age was 44 ± 13. Results The whole puncture success rate of the two groups was 96.7% and 93.3% (P = 0. 554). The time of establishing pathway was (13 ±3)min and (22±4)min(P <0.01); puncture success rate in one time was 86.7% and 60. 0% (P =0. 02). Conclusions Located by ultrasound to establish pereutaneous nephrolithotomy aisles is more predominant than C - arm X - ray, and has no radiation injury.