| 影响超声引导下经皮肾镜碎石术穿刺成功因素的初步分析 |
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| 引用本文： | 苏光明,高海港,周保成,黎颖,祝莉,吴勇军,徐天骄.影响超声引导下经皮肾镜碎石术穿刺成功因素的初步分析[J].解放军医学高等专科学校学报,2012(4):931-934. |
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| 作者姓名： | 苏光明 高海港 周保成 黎颖 祝莉 吴勇军 徐天骄 |
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| 作者单位： | [1]解放军第477医院特理科泌尿肾病科,湖北襄阳441003 [2]解放军第477医院泌尿肾病科,湖北襄阳441003 |
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| 摘 要： | 目的探讨影响超声引导下经皮肾镜碎石术（PCNL）穿刺成功的相关因素。方法回顾分析超声引导下PCNL穿刺不成功的36例患者相关资料,对影响穿刺成功的因素进行分析和总结。结果 （1）影响超声引导下PCNL穿刺成功因素可分为术前型,术中型两大类。（2）不同类型不同原因有不同的表现。结论影响超声引导下PCNL穿刺成功因素中术前型均可通过规范有序的检查逐步避免,术中型则有赖于经验的积累和技术的不断提高。
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| 关 键 词： | 经皮肾镜碎石术 超声 输尿管导管 |
Preliminary analysis on the success factors of percutaneous nephrostolithotomy under the ultrasound-guided |
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| Su Guang-ming,Gao Hai-gang,Zhou Bao-cheng,Li Ying,Zhu Li,Wu Yong-jun,Xu Tian-jiao.Preliminary analysis on the success factors of percutaneous nephrostolithotomy under the ultrasound-guided[J].Clinical Journal of Medical Officer,2012(4):931-934. |
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| Authors: | Su Guang-ming Gao Hai-gang Zhou Bao-cheng Li Ying Zhu Li Wu Yong-jun Xu Tian-jiao |
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| Institution: | 1.Department of Ultrasonography,2.Department of Urinary Nephropathy,PLA No.477 Hospital,Xiangyang Hubei 441003,China) |
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| Abstract: | Objective To investigate correlation factors which affect the puncture success of percutaneous nephrostolithotomy（PCNL） under the ultrasound-guided. Methods The relative information of 36 cases of unsuccessful PCNL under the ultrasound-guided was analyzed retrospectively,and the correlation factors which affect the puncture success was analyzed and summarized. Results（1） The success factors of PCNL under the ultrasound-guided could be classified by 2 types： preoperative-type and intraoperative-type.（2） Different type had different reason and appearance. Conclusion The preoperative-type factors which affect the puncture success of PCNL under the ultrasound-guided could be avoid by normative and ordered examination,and the intraoperative-type might be depend on affluent experience and improved technique. |
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| Keywords: | percutaneous nephrostolithotomy ultrasound ureteral catheter |
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