CAJ | 학술논문

目的：探讨CT尿路造影（CTU）和三维重建在微创经皮肾镜取石术（PCNL）中的应用价值。方法：选取本院2011年10月-2013年6月收治的36例择期行PCNL患者，按照随机数字表法均分为对照组和观察组各18例，对照组行静脉肾盂造影，观察组行CTU和三维重建，比较两组患者的手术时间、术中出血量、穿刺成功率、结石清除率和并发症发生率的差异。结果：观察组手术时间明显短于对照组，差异有统计学意义（P<0.05）；两组患者术中出血量比较差异无统计学意义（P>0.05）；观察组的穿刺成功率（88.9%）明显高于对照组（66.7%），结石清除率（94.4%）明显高于对照组（72.2%），差异均有统计学意义（P<0.05）；两组患者均无严重并发症发生，并发症发生率比较差异无统计学意义（P>0.05）。结论：在微创经皮肾镜取石术中应用CTU和三维重建安全有效，能显著缩短手术时间，提高穿刺成功率和结石清除率。
목적：탐토CT뇨로조영（CTU）화삼유중건재미창경피신경취석술（PCNL）중적응용개치。방법：선취본원2011년10월-2013년6월수치적36례택기행PCNL환자，안조수궤수자표법균분위대조조화관찰조각18례，대조조행정맥신우조영，관찰조행CTU화삼유중건，비교량조환자적수술시간、술중출혈량、천자성공솔、결석청제솔화병발증발생솔적차이。결과：관찰조수술시간명현단우대조조，차이유통계학의의（P<0.05）；량조환자술중출혈량비교차이무통계학의의（P>0.05）；관찰조적천자성공솔（88.9%）명현고우대조조（66.7%），결석청제솔（94.4%）명현고우대조조（72.2%），차이균유통계학의의（P<0.05）；량조환자균무엄중병발증발생，병발증발생솔비교차이무통계학의의（P>0.05）。결론：재미창경피신경취석술중응용CTU화삼유중건안전유효，능현저축단수술시간，제고천자성공솔화결석청제솔。
Objective:To investigate application value of CT urography(CTU)and three-dimensional reconstruction for minimally invasive percutaneous nephrolithotomy lithotomy(PCNL).Method:36 patients who prepared for PCNL in our hospital were selected from October 2011 to June 2013,they were randomly divided into the control group and the observation group,18 cases in each group.The control group was given IVP treatment. The observation group was given CTU and three-dimensional reconstruction.The operative time,blood loss,puncture success rate,stone clearance rate and complication rate of the two groups were compared.Result:The operative time of observation group was significantly lower than the control group,the difference was statistically significant(P<0.05);the blood loss of two groups had no significant difference(P>0.05).The puncture success rate of observation group was 88.9%,it was significantly higher than the 66.7%of control group,and stone clearance rate of observation group was 94.4%,it was significantly higher than the 72.2%of control group ,the differences were statistically significant(P<0.05);Both of two groups had no severe complications.The complication rate of two groups had no significant difference(P>0.05).Conclusion:For minimally invasive percutaneous nephrolithotomy lithotomy,CTU and three-dimensional reconstruction is safe and feasible.It can significantly shorten operation time and increase success rate and stone clearance rate.