[1]安永寿 许国亮 柴文玲 安永贵 李柱 王俊卿 魏晨阳 王志平① 冯鲁涛 刘钊.自制格栅定位器与多排螺旋CT三维重建视频引导在经皮肾穿刺微造瘘术中的应用[J].中国微创外科杂志,2013,13(8):720-723.
　An Yongshou,Xu Guoliang,Chai Wenling,et al.Clinical Significance of 16 Detectorslice Spiral CT Reconstruction of Three Dimensional Video Positioning Assisted by Homemade Grille Positioner in Minimally Invasive Percutaneous Nephrostomy[J].Chinese Journal of Minimally Invasive Surgery,2013,13(8):720-723.
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自制格栅定位器与多排螺旋CT三维重建视频引导在经皮肾穿刺微造瘘术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
13
期数:
2013年8期
页码:
720-723
栏目:
论著
出版日期:
2013-08-20

文章信息/Info

Title:
Clinical Significance of 16 Detectorslice Spiral CT Reconstruction of Three Dimensional Video Positioning Assisted by Homemade Grille Positioner in Minimally Invasive Percutaneous Nephrostomy
作者:
安永寿 许国亮 柴文玲 安永贵 李柱 王俊卿 魏晨阳 王志平① 冯鲁涛 刘钊
甘肃省酒泉市人民医院泌尿外科，酒泉735000
Author(s):
An Yongshou;  Xu Guoliang;  Chai Wenling;  et al.
Department of Urology, Jiuquan People’s Hospital, Jiuquan 735000, China
关键词:
肾微造瘘; 自制格栅定位器; 16排螺旋CT
Keywords:
Minimally invasive percutaneous nephrostomy; Homemade grille positioner; 16 detectorslice spiral computed tomography scan
分类号:
R699.2
文献标志码:
A
摘要:
目的探讨自制格栅定位器与多排螺旋CT三维重建视频引导动态定位在经皮肾穿刺微造瘘（minimally invasive percutaneous nephrostomy，MPCN）术中的临床应用价值。方法2008年9月~2012年6月，对58例急性肾功能衰竭、肾脏复杂结石、肾积水患者，局麻下采用自制格栅(grille)定位器辅助16排螺旋CT三维重建视频动态定位，行精确定位经皮肾穿刺微造瘘，行微创经皮肾镜碎石取石术（MPCNL）30例，仅行MPCN 28例（其中8例双侧）。结果58例均一次成功完成MPCN，术中出血≤5 ml，无周围组织器官损伤。结论自制格栅定位器辅助16排螺旋CT三维重建视频引导快速动态精确定位，具有MPCN成功率高、可视性强的优点，而且安全，操作简便，工作通道建立快捷，出血及并发症少，定位精确，值得推广应用。
Abstract:
ObjectiveTo investigate the clinical application of 16 detectorslice spiral CT reconstruction of three dimensional video positioning assisted by homemade grille positioner in minimally invasive percutaneous nephrostomy (MPCN).MethodsFrom September 2008 to June 2012, 58 cases suffering from acute renal failure, complicated renal calculi and hydronephrosis underwent MPCN after 16 detectorslice spiral CT reconstruction of three dimensional video positioning assisted by homemade grille positioner. 30 cases received minimally invasive percutaneous nephrolithotomy (MPCNL) and 28 cases just received MPCN (including 8 bilateral cases).ResultsAll the 58 cases went through MPCN successfully, with a blood loss of ≤5 ml. No tissue and organ injury occurred.ConclusionsThe 16 detectorslice spiral CT reconstruction of three dimensional video positioning assisted by homemade grille positioner in MPCNL is safe and simple. It has less blood loss and complications, and is worthy of wide clinical application.

参考文献/References:

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[6]安永寿，柴文玲，安永贵，等.三聚氰胺致婴幼儿急性肾功能衰竭临床特征及治疗（附2例报告并文献复习）.国际泌尿系统杂志，2010，30（6）：746-751.

备注/Memo

备注/Memo:
基金项目：甘肃省卫生部科研基金资助项目（GSNUCC201003）①（兰州大学第二医院泌尿外科研究所，兰州730000）
更新日期/Last Update: 2014-10-14