[1]何立红,李燕,洪景范,等.超声引导经皮肾穿刺的临床经验[J].中国微创外科杂志,2007,07(3):257-258.
　He Lihong,Li Yan,Hong Jingfan,et al.Clinical experience of ultrasoundguided percutaneous nephrostomy[J].Chinese Journal of Minimally Invasive Surgery,2007,07(3):257-258.
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超声引导经皮肾穿刺的临床经验()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年3期
页码:
257-258
栏目:
出版日期:
2007-03-20

文章信息/Info

Title:
Clinical experience of ultrasoundguided percutaneous nephrostomy
作者:
何立红; 李燕; 洪景范; 叶宁
广东省中山市小榄人民医院功能科，中山528415
Author(s):
He Lihong;  Li Yan;  Hong Jingfan;  et al.
Department of Function, Xiaolan People’s Hospital, Zhongshan 528415, China
关键词:
超声引导; 经皮肾穿刺; 上尿路结石; PCNL
Keywords:
Ultrasound guidance; Percutaneous nephrostomy; Upper urinary tract calculus; Percutaneous nephrolithotomy
分类号:
R692.4;R693+.4
文献标志码:
A
摘要:
目的总结在经皮肾穿刺取石术（percutaneous nephrolithotomy,PCNL）中应用超声引导行经皮肾穿刺经验。 方法在实时B超引导下用18G穿刺针经皮肾穿刺至肾盏或肾盂43例，将穿刺针道扩张后建立皮肾工作通道，镜下完成对肾盂及输尿管上段结石的碎石和取石。 结果本组43例中，肾穿刺成功率100％。1例经皮肾穿刺后出血不止改开放手术，建立皮肾工作通道成功率97.7％（42/43）。总的结石取净率为100%(42/42)，其中38例一期取石成功，4例二期取石成功。无大出血及周围器官损伤。术后1个月B超或KUB未见结石残留。 结论超声引导经皮肾穿刺成功率高、创伤小、安全、可靠。正确使用超声引导经皮肾穿刺技术是保证能顺利建立皮肾工作通道、完成对上尿路结石PCNL的关键。
Abstract:
ObjectiveTo summarize the experience of ultrasoundguided percutaneous nephrostomy during percutaneous nephrolithotomy (PCNL) under Bultrasound guidance. MethodsA ultrasoundguided percutaneous nephrostomy was performed in 43 cases by using a 18gauge needle. Then the percutaneous puncture was expanded for establishing a working tunnel. Under nephroscope, stone fragmentation was completed in the renal pelvis and the upper segment of the ureter.ResultsThe success rate of percutaneous puncture was 100%.Of the 43 cases, the percutaneous working tunnel was successfully established in 42 cases (977%), while a conversion to open surgery was needed in 1 case because of uncontrolled hemorrhage after puncture. The overall stone clearance rate was 100% (42/42), including 38 cases of stone removal on one session and 4 cases of twostaged clearance. No serious complications, such as massive hemorrhage or neighboring organ injuries, were encountered. Reexaminations with Bultrasonography or KUB at 1 month after operation showed no residual stones.ConclusionsUltrasoundguided percutaneous nephrostomy is minimally invasive, safe, and reliable. Proper use of this technique is crucial for a successful performance of percutaneous nephrolithotomy in the treatment of upper urinary tract calculus.

参考文献/References:

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更新日期/Last Update: 2013-11-15