[1]蒋立城 徐忠华 张英晨 王学廷 丁吉阳 任辉杰 吴志强 王涛 程玉峰.低剂量和标准剂量螺旋 CT定位在微创经皮肾镜碎石取石术应用中的比较[J].中华腔镜泌尿外科杂志(电子版),2015,(05):351-354.[doi:10.3877/cma.j.issn.1674-3253.2015.05.011 ]
 Jiang Licheng,Xu Zhonghua,Zhang Yingchen,et al.Camparison of low-dose and standard dose unenhanced helical CT localization in minimally invasive percutaneous nephrolithotomy for upper urinary calculi[J].,2015,(05):351-354.[doi:10.3877/cma.j.issn.1674-3253.2015.05.011 ]
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低剂量和标准剂量螺旋 CT定位在微创经皮肾镜碎石取石术应用中的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2015年05期
页码:
351-354
栏目:
临床研究
出版日期:
2015-12-31

文章信息/Info

Title:
Camparison of low-dose and standard dose unenhanced helical CT localization in minimally invasive percutaneous nephrolithotomy for upper urinary calculi
作者:
蒋立城 1徐忠华 3张英晨 1王学廷 2丁吉阳 1任辉杰 1吴志强 1王涛 2程玉峰 1
255300 山东淄博,解放军第148 中心医院泌尿外科,华东地区尿石病防治山东分基地1,影像科2;250012 济南,山东大学齐鲁医院泌尿外科3
Author(s):
Jiang Licheng1 Xu Zhonghua3 Zhang Yingchen1 Wang Xueting2 Ding Jiyang1 Ren Huijie1 Wu Zhiqiang1 Wang Tao2 Cheng Yufeng1.
Department of Urology, 2Department of Imaging, 148th Center Hospital of Jinan Military Area, People's Liberation Army, Zibo, Shandong 255300, China; 3Department of Urology, Qilu Hospital of Shandong University, Shandong 250012, China
关键词:
CT肾造口术经皮辐射
DOI:
10.3877/cma.j.issn.1674-3253.2015.05.011
摘要:
目的通过与标准剂量螺旋 CT比较,探讨低剂量螺旋 CT定位在上尿路结石微创经皮肾镜碎石取石术( MPCNL)治疗中的应用价值。方法将 78例拟行 MPCNL治疗的上尿路结石患者,随机分为低剂量螺旋 CT扫描定位组(低剂量组)和标准剂量螺旋 CT扫描定位组(标准剂量组),于 MPCNL前常规行俯卧位扫描定位,确定穿刺点、穿刺角度和深度。分别对两组患者螺旋 CT有效辐射量、穿刺次数、皮肾通道建立时间、术中 C臂应用次数、失血量及残石率进行比较。结果低剂量组螺旋CT有效辐射量约为标准剂量组的 1/4(24.79%),差异有统计学意义( P<0.01),两组在平均穿刺次数、穿刺角度和深度、通道建立时间、失血量、术中 C臂应用次数、残石率方面比较无统计学差异( P>0. 05)。结论低剂量螺旋 CT扫描替代标准剂量螺旋 CT扫描行 MPCNL定位安全、可行,且有利于降低患者围手术期 X线的辐射剂量。

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备注/Memo

备注/Memo:
基金项目:院长基金资助项目(200930073)
通讯作者:蒋立城,Email:jlcqc@263.net
更新日期/Last Update: 1900-01-01