[1]陈延雄,司徒杰,狄金明,等.便携式无线超声在经皮肾镜术中的初步应用[J].中华腔镜泌尿外科杂志(电子版),2017,11(03):190-194.[doi:10.3877/cma.j.issn.1674-3253.2017.03.012 ]
　Chen Yanxiong,Situ Jie,Di Jinming,et al.Preliminary application of portable wireless ultrasound for percutaneous nephrolithotomy[J].,2017,11(03):190-194.[doi:10.3877/cma.j.issn.1674-3253.2017.03.012 ]
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便携式无线超声在经皮肾镜术中的初步应用()
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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:
11
期数:
2017年03期
页码:
190-194
栏目:
临床研究
出版日期:
2017-06-30

文章信息/Info

Title:
Preliminary application of portable wireless ultrasound for percutaneous nephrolithotomy
作者:
陈延雄1; 司徒杰1; 狄金明1; 吴杰英1; 梁观灿1; 郑浩锋1; 何问理2; 蔡伟忠3; 洪晓斌4; 邱剑光1; 方友强1
510630 广州，中山大学附属第三医院泌尿外科1；514000 广东梅州，中山大学附属第三医院粤东医院泌尿外科2；510530 广州索诺星信息科技有限公司3；510641 广州，华南理工大学机械与汽车工程学院4
Author(s):
Chen Yanxiong1;  Situ Jie1;  Di Jinming1;  Wu Jieying1;  Liang Guancan1;  Zheng Haofeng1;  He Wenli2;  Cai Weizhong3;  Hong Xiaobin4;  Qiu Jianguang1;  Fan
1Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China; 2Department of Urology, Yuedong Hospital, the Third Affiliated Hospital of Sun Yat-sen University, Meizhou 514000, China; 3Guangzhou Sonostar Technologies Co Ltd, Guangzhou 510530, China; 4School of Mechanical and Automotive Engineering, South China University of Technology, Guangzhou 510641, China
关键词:
超声;  经皮肾镜;  定位
DOI:
10.3877/cma.j.issn.1674-3253.2017.03.012
摘要:
目的 探讨UProbe-2 无线超声在经皮肾镜碎石取石术（PCNL）中引导经皮肾穿刺的准确性、安全性、有效性和便携性。方法 选取中山大学附属第三医院2016 年5 月至8 月收治的合并中重度积水的上尿路结石患者18 例，术前先行CT 尿路成像（CTU）预定位，确定基本穿刺区域及路径，术中采用UProbe-2 无线超声实时引导经皮肾穿刺，建立通道后应用钬激光碎石。记录患者的临床资料，术中评价指标和术后并发症情况，并比较UProbe-2 无线超声与传统超声的便携性差异。结果 UProbe-2 无线超声引导PCNL 穿刺均取得成功，引导目标肾盏穿刺16 例一次取得成功，2 例二次成功；经皮肾穿刺时间（3±1）min；手术时间（45±10）min；一期结石清除率为88.89%（16/18），其余2 例患者需行PCNL 二期手术，所有手术均未出现大出血、肠道损伤、气胸等并发症。结论 UProbe-2 无线超声引导具有准确性高、安全性好、效率高及便携性强等特点，其在PCNL 术中具有推广应用价值。

参考文献/References:

[1] Türk C, Pet?ík A, Sarica K, et al. EAU guidelines on interventional treatment for urolithiasis[J]. Eur Urol, 2016, 69(3): 475-482.
[2] Chu C, Masic S, Usawachintachit M, et al. Ultrasound-Guided reanl access for percutaneous nephrolithotomy: a description of thre enovel Ultrasound-Guided needle techniques[J]. J Endourol, 2016, 30(2):153-158.
[3] 李金荣, 邱学德, 李泽惠, 等. PCNL 中联合B 超引导建立多通道并寻找残余结石治疗鹿角型肾结石的疗效观察[J]. 临床泌尿外科杂志, 2016, 31(4): 357-359.
[4] Lightfoot Michelle, Ng Caleb, Engebretsen Steven, et al. Analgseic use and complications following upper Pole access for percutanoeus nephrolithotomy[J]. J Endourol, 2014, 28(8): 909-914.
[5] 方友强, 李腾成, 湛海伦, 等. 术前泌尿系CT 造影预定位结合超声实时引导在俯卧位经皮肾取石术中的应用[J/CD]. 中华腔镜泌尿外科杂志: 电子版, 2014, 8(6): 18-22.
[6] Fernstr?m I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique[J]. Scand J Urol Nephrol, 1976, 10(3):257-259.
[7] Choi SW, Bae WJ, Ha U, et al. Prognostic impact of Stone-Scorign systems after percutaneous nephrolithotomy for staghorn calculi:a single center's experience over 10 years[J]. J Endourol, 2016,30(9):975-981.
[8] Song Y, Jin W, Hua SY, et al. Middle calyx access is better for single renal pelvic stone in ultrasound-guided percutaneous nephrolithotomy[J]. Urolithiasis, 2016, 44(5): 459-463.
[9] Tepeler A, Arma?an A, Akman T, et al. Impact of percutaneous renal access technique on outcomes of percutaneous nephrolithotomy[J]. J Endourol, 2012, 26(7): 828-833.
[10] 温钦, 陈仁春, 黄国泉, 等. X 线定位联合B 超引导微创经皮肾镜气压弹道碎石术治疗无积水肾结石[J]. 微创医学, 2010, 5(4):350-351.
[11] 黄兰珍, 袁道彰, 吴伟江, 等. 超声波与C 臂X 线定位在建立经皮肾镜碎石术通道中应用的比较[J]. 海南医学, 2011, 22(23):119-121.
[12] Agarwal M, Agrawal MS, Jaiswal A, et al. Safety and efficacy of ultrasonography as an adjunct to fluoroscopy for renal access in percutaneous nephrolithotomy (PCNL)[J]. BJU Int, 2011, 108(8):1346-1349.
[13] 吴杰英, 黄文涛, 阮星星, 等. 非实时CT 预定位、实时超声修正定位在经皮肾镜术通道建立中的应用[J/CD]. 中华腔镜泌尿外科杂志: 电子版, 2013, 7(5): 5-9.
[14] 张建生, 谢迭来, 刘凌云, 等. 320 排动态容积CT 尿路成像技术在泌尿外科疾病诊断中的应用[J/CD]. 中华腔镜泌尿外科杂志:电子版, 2010, 4(4): 273-276.
[15] 高新, 周铁, 萧翠兰, 等. 单用B 超引导建立经皮肾穿刺通道行经皮肾镜取石术（附102 例报告）[J]. 临床泌尿外科杂志, 2003,18(1): 10-12.

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备注/Memo

备注/Memo:
基金项目：高校基本业务费，青年教师培育项目（14ykpy25）；广州市科技计划项目（201704020052）
通讯作者：方友强，Email：Fang1573@hotmail.com
更新日期/Last Update: 2017-06-25