[1]孟祥军,米其武,王华,等.CT三维重建辅助鹿角形肾结石经皮肾镜取石术中穿刺定位[J].中华腔镜泌尿外科杂志(电子版),2009,(06):473.
　MENG Xiang-jun,MI Qi-wu,WANG Hua,et al.Three-dimensional CT reconstruction for the planning of percutaneous nephrolithotomy in staghorn calculi[J].,2009,(06):473.
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CT三维重建辅助鹿角形肾结石经皮肾镜取石术中穿刺定位()
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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:
2009年06期
页码:
473
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Three-dimensional CT reconstruction for the planning of percutaneous nephrolithotomy in staghorn calculi
作者:
孟祥军; 米其武; 王华; 张若愚; 叶照华
东莞市人民医院泌尿外科,广东东莞,523018
Author(s):
MENG Xiang-jun; MI Qi-wu; WANG Hua; ZHANG Ruo-yu; YE Zhao-hua
关键词:
三维重建; 肾结石; 经皮肾镜取石术
摘要:
目的 探讨螺旋CT三维重建技术辅助鹿角形肾结石经皮肾镜取石术中穿刺定位的可行性及临床效果.方法 本组82例鹿角形肾结石均行经皮肾镜取石术,术前随机分为CT三维重建组(3DCT实验组)37例和静脉泌尿系造影组(IVU对照组)45例.观察手术时间、术中失血量、穿刺通道数目和结石清除率. 结果全部手术均取得成功,无严重并发症发生.3DCT实验组手术时间98±27.3 min,术中失血量127.1±34.5 ml,穿刺通道数目1.3±0.2个,结石清除率92.8%;IVU对照组手术时间127.3±26.7 min,术中失血量131.2±36.5 ml,穿刺通道数目1.7±0.3个,结石清除率84.2%.两组的失血量差异无统计学意义(P＞0.05)，而实验组结石清除率高于对照组,手术时间和穿刺通道数目少于对照组(P＜0.05). 结论 CT尿路造影可提供肾盂肾盏集合系统的清晰图像,并可发现结石和明确结石与肾盂肾盏集合系统关系,与静脉泌尿系造影相比较,三维CT重建更有利于确定经皮肾穿刺的部位.因此,对于鹿角形肾结石,CT三维重建应该成为经皮肾镜取石术前一种常规的影像学定位方法.

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更新日期/Last Update: 1900-01-01