CAJ | 학술논문

目的探讨在实时超声引导下建立经皮肾镜取石术通道中的临床应用价值及体会。方法应用实时超声引导穿刺对51例，均为单侧，建立经皮肾镜通道后经皮肾镜行取石术。结果51例均穿刺成功且建立经皮肾镜通道。选11肋间作为穿刺点39侧，选择12肋下作为穿刺点12例。无胸膜损伤、腹腔脏器损伤等操作并发症。总结石取尽率为88.2%。结论超声引导经皮肾镜的取石术是一项安全有效的微创技术，对手术的进行具有安全、实时、准确的监测作用，其对于经皮肾镜行取石术具有极其重大的应用价值。
목적탐토재실시초성인도하건립경피신경취석술통도중적림상응용개치급체회。방법응용실시초성인도천자대51례，균위단측，건립경피신경통도후경피신경행취석술。결과51례균천자성공차건립경피신경통도。선11륵간작위천자점39측，선택12륵하작위천자점12례。무흉막손상、복강장기손상등조작병발증。총결석취진솔위88.2%。결론초성인도경피신경적취석술시일항안전유효적미창기술，대수술적진행구유안전、실시、준학적감측작용，기대우경피신경행취석술구유겁기중대적응용개치。
Objective To establish a percutaneous nephrolithotomy channel in the clinical application value and experience in real time under the guidance of ultrasound. Methods Real time ultrasound guided puncture in 51 cases, are unilateral, establishment of percutaneous nephrolithotomy channel after percutaneous nephrolithotomy. Results 51 cases were successful puncture of percutaneous nephrolithotomy channel. Choose 11 intercostal puncture point 39 side, 12 rib puncture site in 12 cases. No pleural injury, abdominal organ injury operation complications. Summary of stone as rate of 88.2%. Conclusion Ultrasound guided percutaneous nephrolithotomy is a safe and ef ective minimal y invasive techniques, can provide real-time, accurate monitoring, safe for percutaneous nephrolithotomy, on percutaneous nephrolithotomy has important application value.