国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2011年
2期
168-171
,共4页
肾结石%体层摄影术,X线计算机
腎結石%體層攝影術,X線計算機
신결석%체층섭영술,X선계산궤
Kidney Calculi%Tomograhy,S- Ray Computed
目的 探讨B超引导联合螺旋CT三维重建技术辅助结石性脓肾经皮肾取石术中穿刺定位可行性及临床效果.方法 实验组24例脓肾结石,先Ⅰ期B超引导下经皮肾穿刺造瘘脓肿引流术,再行Ⅱ期CT三维重建辅助定位经皮肾镜取石术(PCNL).对照组21例脓性结石行静脉泌尿系造影(IVU)定位经皮肾镜取石术.结果 与对照组相比,实验组所有病例均成功引流脓肿及取尽结石,无术后大出血和感染性休克等严重并发症发生.结论 Ⅰ期B超引导下经皮肾穿刺造瘘脓肿引流术,再行Ⅱ期CT三维重建辅助经皮肾镜取石术较实验组安全、有效、结石清除率高、保肾率高,而且恢复快、并发症少,是一种较安全的手术方法.
目的 探討B超引導聯閤螺鏇CT三維重建技術輔助結石性膿腎經皮腎取石術中穿刺定位可行性及臨床效果.方法 實驗組24例膿腎結石,先Ⅰ期B超引導下經皮腎穿刺造瘺膿腫引流術,再行Ⅱ期CT三維重建輔助定位經皮腎鏡取石術(PCNL).對照組21例膿性結石行靜脈泌尿繫造影(IVU)定位經皮腎鏡取石術.結果 與對照組相比,實驗組所有病例均成功引流膿腫及取儘結石,無術後大齣血和感染性休剋等嚴重併髮癥髮生.結論 Ⅰ期B超引導下經皮腎穿刺造瘺膿腫引流術,再行Ⅱ期CT三維重建輔助經皮腎鏡取石術較實驗組安全、有效、結石清除率高、保腎率高,而且恢複快、併髮癥少,是一種較安全的手術方法.
목적 탐토B초인도연합라선CT삼유중건기술보조결석성농신경피신취석술중천자정위가행성급림상효과.방법 실험조24례농신결석,선Ⅰ기B초인도하경피신천자조루농종인류술,재행Ⅱ기CT삼유중건보조정위경피신경취석술(PCNL).대조조21례농성결석행정맥비뇨계조영(IVU)정위경피신경취석술.결과 여대조조상비,실험조소유병례균성공인류농종급취진결석,무술후대출혈화감염성휴극등엄중병발증발생.결론 Ⅰ기B초인도하경피신천자조루농종인류술,재행Ⅱ기CT삼유중건보조경피신경취석술교실험조안전、유효、결석청제솔고、보신솔고,이차회복쾌、병발증소,시일충교안전적수술방법.
Objectives To discuss B ultrosound unite with spiral CT of three-dimensional reconstruction skill's the possibility of position and clinical result in pyonephrosis of PCNL. Methods Experimental group is 24 patients, pyonephrosis with renal calculus, steering by B ultrasound conduct percutaneous nephrostomy in first stage,then by CT of three-dimensional reconstruction skill proceed PCNL. Control group has 21 pyonephrosis with renal calculus patients who through IVU to location and treat with PCNL. Results Compared with control group,all cases of experimental group successfully drain abscessus and deplete renal calculus. Conclusions First stage by the positon of B ultrasound and percutaneous nephrostomy,in Ⅱ stage by CT of three-dimensional reconstruction skill united with PCNL was proved is safety,effectivity, the clearance rate of calculus and retention of kidney is considerable, but quick recovery and less complication, which is a safety operation method.
