[1]唐松林,周祥福,温机灵.应用CT探讨平卧位经皮肾穿刺结肠的损伤几率[J].中华腔镜泌尿外科杂志(电子版),2007,(01):51-53.
 TANG Song-lin,ZHOU Xiang-fu,WEN Ji-ling.The risk of colon injury of percutaneous nephrostomy in supine position as shown by computed tomography[J].,2007,(01):51-53.
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应用CT探讨平卧位经皮肾穿刺结肠的损伤几率()
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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:
2007年01期
页码:
51-53
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
The risk of colon injury of percutaneous nephrostomy in supine position as shown by computed tomography
作者:
唐松林周祥福温机灵
佛山,南海区盐步医院泌尿外科,广东,528247,中山大学附属第三医院泌尿外科,广州,510630,同济大学附属东方医院泌尿外科,上海,200120
Author(s):
TANG Song-linZHOU Xiang-fuWEN Ji-ling
关键词:
腹腔镜肾部分切除术CT
摘要:
目的 探讨平卧位经皮肾穿刺结肠损伤的机制和几率,为临床经皮肾镜手术提供理论指导.方法 对406例平卧位腹部CT进行回顾分析,模拟一条自腰椎前切缘分别经过肾上极、肾门、肾下极的穿刺线,将升、降结肠位置分为穿刺线前、线后或线上,前者定义为无潜在损伤风险,后两者定义为有潜在损伤风险,从影像学分析平卧位经皮肾穿刺结肠损伤的机制和概率.结果 经左侧肾上极、肾门、肾下极的穿刺中结肠有潜在损伤风险的分别为0例、0例、3例(0.74%);右侧肾上极、肾门、肾下极的穿刺中无一例有潜在损伤风险.结论 国人行平卧位行经皮肾穿刺结肠损伤发生几率低,但经皮肾镜术前最好常规行CT检查了解解剖变异,以避免结肠损伤严重并发症的发生.

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更新日期/Last Update: 1900-01-01