CAJ | 학술논문

目的探讨使用斑马导丝硬头端在处理复杂性及特殊肾结石手术过程中的应用.方法在皮肾通道建立过程中,利用C臂X光透视定位,将斑马导丝硬头端插入肾盏对侧肾皮质内,引导筋膜扩张器进行扩张,建立皮肾通道,行气压弹道碎石或钬激光碎石.结果 67例患者均成功建立皮肾通道,术中无大出血,无肾脏穿孔及肾包膜下血肿.结论利用斑马导丝硬头端插入对侧肾质内处理因导丝软头端无法插入,或插入深度不够的肾结石患者,此方法安全、可靠.
목적 탐토사용반마도사경두단재처리복잡성급특수신결석수술과정중적응용.방법 재피신통도건립과정중,이용C비X광투시정위,장반마도사경두단삽입신잔대측신피질내,인도근막확장기진행확장,건립피신통도,행기압탄도쇄석혹화격광쇄석.결과 67례환자균성공건립피신통도,술중무대출혈,무신장천공급신포막하혈종.결론 이용반마도사경두단삽입대측신질내처리인도사연두단무법삽입,혹삽입심도불구적신결석환자,차방법안전、가고.
Objectives To explore the use of zebra guidewire hard at the head end processing complexity and special kidney stone operation process application.Methods In percutaneous renal access the build process,using C arm X ray positioning,the zebra guidewire hard head end is inserted into the renal calyceal contralateral renal cortex,guided fascia expander,established percutaneous renal access,line of pneumatic lithotripsy and holmium laser lithotripsy.Results Of the 67 patients were successfully established percutaneous renal access,no intraoperative bleeding,perforation and no renal subcapsular renal hematoma.Conclusions The use of zebra guidewire hard head end is inserted into the contralateral renal interstitial treatment for guide wire soft head cannot be inserted into the insertion depth is not enough,or the patient with kidney stones,the method is safe,reliable.