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超声引导结合X线引导经皮输尿管镜治疗复杂性肾结石
引用本文:黄毅斌,胡萍香,龙莎,肖梅,张壮凤,向丽萍.超声引导结合X线引导经皮输尿管镜治疗复杂性肾结石[J].中国超声医学杂志,2010,26(4).
作者姓名:黄毅斌  胡萍香  龙莎  肖梅  张壮凤  向丽萍
作者单位:深圳市中医院超声科,广东省深圳市,518033
摘    要:目的 探讨超声引导结合X线引导经皮输尿管镜治疗复杂性肾结石的方法及效果.方法 超声及泌外医师对35例复杂性肾结石根据超声检查及X片进行术前穿刺规划,术中超声监测及引导清除结石.结果 35例复杂性肾结石,31例成功单通道取尽结石,2例双通道取石,2例残余小结石,结石清除率94.3%,无1例出现严重并发症.结论 超声引导结合X线引导经皮输尿管镜治疗复杂性肾结石,具有定位合理、引导准确、并发症低的优点,值得推广.

关 键 词:超声引导  X线  复杂性肾结石  微创经皮肾穿刺取石术

Percutaneous Ureteroscopy Treatment of Complex Renal Calculi Guided by Interventional Ultrasound Combined with X-ray
Abstract:Objective To assess the effect of percutaneous ureteroscopy treatment of complex renal calculi guided by interventional ultrasound combinedwith X-ray.Methods Ultrasound doctors and urologists made preopera-tive puncture plan for 51 cases with complex renal calculi based on ultrasonography and X films,and intraoperatively finished the removal of stones by ultrasound monitoring and guiding.Results 35 cases with complex kidney stone underwent minimally invasive percutaneous nephrolithotomy(MPCNL).Calculis in 31 cases had been successfully removed through single-channel access.2 cases had been successfully removed through dual-channel access.Some small stones still remainded in 2 cases.The rate of stone-removing was 94.3%.No case had serious complications.Conclusions The results show that the interventional ultrasound combined with X-ray guided percutaneous ureteroscopy treatment of complex renal calculi has the advantages of reasonable positioning,accurate guiding,and low complications.The method of MPCNL is worth promoting.
Keywords:Ultrasound guidance  X-ray  Complicated renal calculi  Minimally invasive percutaneous nephrolithotomy  
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