[1]余伟民,曹君,阮远,等.超声引导“经肾盏穹窿-盏颈轴线两步穿刺法”建立经皮肾通道[J].中华腔镜泌尿外科杂志(电子版),2016,10(03):148-152.[doi:10.3877/cma.j.issn.1674-3253.2016.03.003 ]
 Yu Weimin,Cao Jun,Ruan Yuan,et al.Axis positioning combination of two steps punctures for solo ultrasound-guided access in percutaneous nephrolithotomy[J].,2016,10(03):148-152.[doi:10.3877/cma.j.issn.1674-3253.2016.03.003 ]
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超声引导“经肾盏穹窿-盏颈轴线两步穿刺法”建立经皮肾通道()
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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:
10
期数:
2016年03期
页码:
148-152
栏目:
临床研究
出版日期:
2016-06-29

文章信息/Info

Title:
Axis positioning combination of two steps punctures for solo ultrasound-guided access in percutaneous nephrolithotomy
作者:
余伟民曹君阮远饶婷李浩勇葛名欢程帆张孝斌
430060武汉,武汉大学人民医院泌尿外科
Author(s):
Yu Weimin Cao Jun Ruan Yuan Rao Ting Li Haoyong Ge Minghuan Cheng Fan Zhang Xiaobin.
Department of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China
关键词:
肾造口术经皮通道超声轴线
DOI:
10.3877/cma.j.issn.1674-3253.2016.03.003
摘要:
目的探讨超声引导下经皮肾通道建立的方法和临床疗效。方法 2013年 6月至 2015年6月,武汉大学人民医院实施经皮肾镜碎石取石术( PCNL)212例次,均在单纯超声引导下,以目标盏 “穹窿 -盏颈轴线 ”为最终穿刺方向,分两步进针建立经皮肾通道,收集通道建立相关数据并进行评价。结果平均穿刺时间( 56.4±21.8)秒,平均穿刺次数( 1.2±0.5)次,一次成功占 80.2%。经上、中和下组肾盏建立通道的比例分别为 1.4%、90.6%和 8.0%。43.4%皮肤穿刺点位于第 12肋下, 50.5%位于第 12肋上,另 6.1%位于第 12肋尖部。91.5%的病例手术均经单通道完成。通道建立过程中穿孔和通道出血需行血管栓塞各 2(0.9%)例,总的单次结石清除率 92.5%。结论超声引导 “经目标盏穹窿 -盏颈轴线两步穿刺法”建立经皮肾通道是一种安全高效的 PCNL通道建立方法。

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备注/Memo:
通讯作者:程帆,Email: 646064793@qq.com
本文编辑:阮星星 李文标) 余伟民,曹君,阮远,等.超声引导“经肾盏穹窿 -盏颈轴线两步穿刺法”建立经皮肾通道[J/CD].中华腔镜泌尿外科杂志:电子版, 2016, 10(3
更新日期/Last Update: 2016-06-30