CAJ | 학술논문

目的：探讨64排CT行泌尿系非增强三维重建对经皮肾镜手术的临床疗效和参考价值。方法选择2011年2月-2013年2月我院100例行经皮肾镜手术取石的患者作为观察对象，根据影像学检查方法随机分为观察组和对照组各50例，观察组行CT非增强三维重建，对照组行泌尿造影，对比两组患者在手术过程中所用时间、术中出血量、结石清除率、穿刺成功率等。结果两组在手术时间、术中出血量、穿刺通道数目及结石清除率方面无明显差异(P>0.05)，但观察组穿刺成功率高于对照组，手术时间明显短于对照组，差异有统计学意义(P<0.05)。结论采用64排CT行泌尿系非增强三维重建对经皮肾镜手术的临床疗效确切，具有较高的穿刺成功率，能缩短手术时间，可作为常规影像学检查方法。
목적：탐토64배CT행비뇨계비증강삼유중건대경피신경수술적림상료효화삼고개치。방법선택2011년2월-2013년2월아원100례행경피신경수술취석적환자작위관찰대상，근거영상학검사방법수궤분위관찰조화대조조각50례，관찰조행CT비증강삼유중건，대조조행비뇨조영，대비량조환자재수술과정중소용시간、술중출혈량、결석청제솔、천자성공솔등。결과량조재수술시간、술중출혈량、천자통도수목급결석청제솔방면무명현차이(P>0.05)，단관찰조천자성공솔고우대조조，수술시간명현단우대조조，차이유통계학의의(P<0.05)。결론채용64배CT행비뇨계비증강삼유중건대경피신경수술적림상료효학절，구유교고적천자성공솔，능축단수술시간，가작위상규영상학검사방법。
Objective To investigate the clinical efficacy and reference value of 64 rows CT urinary non enhanced 3D reconstruction to percutaneous nephrolithotomy operation. Methods Chosed 100 cases of percutaneous nephrolithotomy lithotomy operation patients from February 2011 to February 2013 in our hospital as theobservation object, according to the imaging methods, the cases were randomly divided into observation group and control group, 50 cases in each group, observation group underwent CT non enhanced 3D reconstruction, control group with urography, two groups were compared with time, amount of bleeding, the stone clearance rate, the success rate of puncture in the operationprocess. Results Two groups in the operation time, bleeding volume, puncture channel number and the stone clearance rate had no significant difference, but observation group in puncture success rate was higher than control group, operation time in observation group was shorter than control group, the difference was statistically significant. Conclusion The clinical effect of 64 rows CT urinary non enhanced 3D reconstruction to percutaneous nephrolithotomy operation is exact, and has a higher success rate of puncture,can shorten the operation time, can be used as a routine imaging method.