[1]许清泉,黄晓波,马凯,等.超声引导下肋间通路经皮肾镜取石术的疗效和安全性[J].中国微创外科杂志,2009,09(8):728-730.
　Xu Qingquan,Huang Xiaobo,Ma Kai,et al.Efficacy and Safety of UltrasonographyGuided Percutaneous Nephrolithotomy via Supracostal Approach[J].Chinese Journal of Minimally Invasive Surgery,2009,09(8):728-730.
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超声引导下肋间通路经皮肾镜取石术的疗效和安全性()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年8期
页码:
728-730
栏目:
出版日期:
2009-08-31

文章信息/Info

Title:
Efficacy and Safety of UltrasonographyGuided Percutaneous Nephrolithotomy via Supracostal Approach
作者:
许清泉; 黄晓波; 马凯; 张在先; 陈亮; 于路平; 朱积川; 王晓峰; 那彦群
北京大学人民医院泌尿外科，北京100044
Author(s):
Xu Qingquan;  Huang Xiaobo;  Ma Kai;  et al.
Department of Urology, Peking University People’s Hospital, Beijing 100044, China
关键词:
经皮肾镜取石术; 肋间通路; 肋下通路; 肾结石
Keywords:
Percutaneous nephrolithotomy; Supracostal approach; Subcostal approach; Nephrolithiasis
分类号:
R692.4
文献标志码:
A
摘要:
目的探讨超声引导下肋间通路经皮肾镜取石术的疗效及安全性。方法2006年5月～2008年6月由一个手术小组完成110例超声引导下经皮肾镜取石术，62例采用肋间通路(第12肋上)经皮肾镜取石术（肋间通路组），48例采用肋下通路(肋缘下)经皮肾镜取石术（肋下通路组）。术前肋间通路组和肋下通路组分别有45例和36例行CT结石三维重建。结果肋间通路组结石取净率为72.6%(45/62)，肋下通路组结石取净率为60.4%(29/48)，2组结石取净率无统计学差异(χ2=1.818，P=0.178)。肋间通路组手术时间（78.6±5.1）min显著短于肋下通路组（102.4±7.1）min(t=-20.454，P=0000)。肋间通路组及肋下通路组各有1例需要输血，肋间通路组有1例发生气胸，经保守治疗痊愈。结论肋间通路经皮肾镜取石术安全、有效。
Abstract:
ObjectiveTo evaluate the efficacy and safety of ultrasonographyguided percutaneous nephrolithotomy (PCNL).MethodsBetween May 2006 and June 2008, 110 patients underwent PCNL by a single urological team at our hospital. The clinical data of the patients were retrospectively reviewed. Of the cases, supracostal access (the 11th intercostal space) was made in 62 patients (supracostal group), and subcostal access was obtained in 48 patients (subcostal group). Fortyfive patients in the supracostal group (45/62) and 36 of the subcostal group (36/48) received CT three dimensional reconstruction.ResultsThe stone free rate of the supracostal group was 72.6% (45/62) , while that of the subcostal group was 60.4% (29/48; χ2=1.818, P=0.178). The mean operation time of the supracostal group was (78.6±5.1) min, while that of the subcostal group was (102.4±71) min (t=-20.454，P=0.000). There was one patient in each group received blood transfusion. One patient in the supracostal group had pneumothorax and recovered uneventfully by conservative treatments.ConclusionUltrasonographyguided PCNL via the supracostal approach is effective and safe with short operation time.

参考文献/References:

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备注/Memo

备注/Memo:
黄晓波通讯作者
更新日期/Last Update: 2013-09-17