| 不同方法引导下建立经皮肾通道治疗无明显积水肾结石的临床研究 |
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| 引用本文： | 黄韬,龙兆麟,吴世皓,华庆生,刘志乐,陈远祥,张信基,曾任创. 不同方法引导下建立经皮肾通道治疗无明显积水肾结石的临床研究[J]. 岭南现代临床外科, 2016, 16(6): 731-735. DOI: 10.3969/j.issn.1009-976X.2016.06.024 |
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| 作者姓名： | 黄韬 龙兆麟 吴世皓 华庆生 刘志乐 陈远祥 张信基 曾任创 |
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| 作者单位： | 南方医科大学附属顺德第一人民医院 |
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| 基金项目： | 广东佛山医学科学技术应用研究项目(2014AB001623) |
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| 摘 要： | 【摘要】目的比较C臂X光、B超凸阵探头及B超穿刺探头引导在经皮肾穿刺的成功率和穿刺效果。方法回顾性分析行经皮肾镜取石术的138例无明显积水肾结石患者的临床资料，根据经皮肾穿刺时采用的引导方法分为C臂X光组（46例）、B超凸阵探头组（46例）和B超穿刺探头组（46例），比较不同方法引导经皮肾穿刺的成功率及效果。结果138例均成功地建立了通道，B超穿刺探头组1次穿刺成功率67.39%，≤2次穿刺成功率89.13%，高于B超凸阵探头组和C臂X光组（P<0.05）；B超穿刺探头组平均穿刺次数最少；B超穿刺探头组有41例（89.13%）经肾盏穹窿部进入，穿刺效果优于B超凸阵探头组和C臂X光组（P<0.05）。结论B超穿刺探头用于经皮肾穿刺的实时引导，成功率较高，穿刺效果较好，方便实用。
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| 关 键 词： | 经皮肾镜取石术 X光 B超穿刺探头 引导穿刺 B超凸阵探头 |
A clinical study of establishing percutaneous renal access guided by different methods for the treatment of kidney stones without uronephrosis |
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| HUANG Tao,LONG Zhaolin,WU Shihao,HUA Qingsheng,LIU Zhile,CHEN Yuanyang,ZHANG Xinji,ZENG Renchuang. A clinical study of establishing percutaneous renal access guided by different methods for the treatment of kidney stones without uronephrosis[J]. Lingnan Modern Clinics in Surgery, 2016, 16(6): 731-735. DOI: 10.3969/j.issn.1009-976X.2016.06.024 |
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| Authors: | HUANG Tao LONG Zhaolin WU Shihao HUA Qingsheng LIU Zhile CHEN Yuanyang ZHANG Xinji ZENG Renchuang |
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| Abstract: | 【Abstract】 Objective To compare the success rate and effectiveness of C-arm X-ray, B-convex array probe and probe B-guided percutaneous renal puncture. Methods A clinical data of 138 patients suffering from kidney stones and undergoing percutaneous nephrolithotomy lithotripsy were retrospectively analyzed. The patients were assigned to the X-ray-guided puncture group（n=46）, B ultrasound convex array probe-guided group （n=46） and B-ultrasound-guided puncture group （n=46） according to the different puncture methods to the kidneys. The success rate and effectiveness were compared between the three different methods of percutaneous puncture. Results All patients were successfully established a channel within the kidneys. One-time success rate of probe B-guided puncture group was 67.39%, ≤2 puncture success rate was 89.13%, and they were higher than that of either the B-convex array probe-guided puncture group or X-ray-guided puncture group. The differences were statistically significant（P<0.05）and the average number of puncture done by B-guided puncture probe was less than the other two groups. Forty-one（89.13%）of cases in the probe B-guided puncture group performed the procedure by calyx into the fornix and the puncture effectiveness was better than the other two groups （P<0.05）. Conclusion B-puncture probe used by the real-time guided percutaneous renal puncture shows better efficacy than X ray-guided, B-convex array probe-guided percutaneous renal puncture. |
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| Keywords: | X-ray-guided B-convex array probe-guided Probe B-guided puncture Guided puncture Percutaneous nephrolithotomy |
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