CAJ | 학술논문

目的：探讨在专业凸阵穿刺超声探头下行肾穹窿穿刺并评估其在经皮肾镜碎石术中的应用价值及技巧。方法收集98例共106侧肾结石患者，专业凸阵穿刺超声实时监测引导行肾穹窿穿刺法建立经皮肾通道。结果所有病例均穿刺成功并一期碎石取石，一期结石清除率达86．8％（92／106），手术时间15～42 min，平均（25．7±16．5）min，出血量20～150 ml，平均（60．8±40．5）ml，术后住院时间3～7 d，平均（3．8±1．9）d。未发生气胸、肠管损伤和出血而需要输血的患者。结论术中专业凸阵穿刺超声实时动态监测下肾穹窿穿刺法建立经皮肾通道成功率高，出血少，安全性高，结石清除率高。
목적：탐토재전업철진천자초성탐두하행신궁륭천자병평고기재경피신경쇄석술중적응용개치급기교。방법수집98례공106측신결석환자，전업철진천자초성실시감측인도행신궁륭천자법건립경피신통도。결과소유병례균천자성공병일기쇄석취석，일기결석청제솔체86．8％（92／106），수술시간15～42 min，평균（25．7±16．5）min，출혈량20～150 ml，평균（60．8±40．5）ml，술후주원시간3～7 d，평균（3．8±1．9）d。미발생기흉、장관손상화출혈이수요수혈적환자。결론술중전업철진천자초성실시동태감측하신궁륭천자법건립경피신통도성공솔고，출혈소，안전성고，결석청제솔고。
Objective To discuss the clinical applications and techniques of renal fornix punc-ture with professional convex ultrasound scanner in percutaneous nephrolithotomy(PCNL).Methods A total of 98 cases(106 sides)were studied.The working tracks were all established by renal fornix puncture under the guidance and real-time monitoring of professional convex ultrasound.Results All PCNL proce-dures were successful.The primary stone-free rate of PCNL was 86.8%(92 /106).The mean operation time was(25.7 ±16.5)min(range 15 ~42 min),and the mean blood loss was(60.8 ±40.5)ml(range 20 ~150 ml).The mean postoperative stay was(3.8 ±1.9)d(range 3 ~7 d).No severe complications such as pneumothorax,bowel injury and blood transfusion occurred.Conclusion Renal fornix puncture with the intraoperative real-time monitoring of professional convex ultrasound is both effective and safe in PCNL.It reduces bleeding and improved stone-free rate.