[1]连学雄,张伟强,李莉.CT联合超声引导微创经皮肾镜碎石取石术治疗肾输尿管上段阴性结石[J].中华腔镜泌尿外科杂志(电子版),2008,(04):40-42.
　LIAN Xue-xiong,ZHANG Wei-qiang,LI Li.Minimally invasive percutaneous nephrolithotomy under the B-type ultrasound and CT guidance for treatment of upper urethral non-opaque calculi[J].,2008,(04):40-42.
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CT联合超声引导微创经皮肾镜碎石取石术治疗肾输尿管上段阴性结石()
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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:
2008年04期
页码:
40-42
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Minimally invasive percutaneous nephrolithotomy under the B-type ultrasound and CT guidance for treatment of upper urethral non-opaque calculi
作者:
连学雄; 张伟强; 李莉
广州市番禺区石楼人民医院泌尿外科,511447
Author(s):
LIAN Xue-xiong; ZHANG Wei-qiang; LI Li
关键词:
阴性结石; 超声; 微创经皮肾镜
摘要:
目的 总结CT联合超声引导微创经皮肾镜碎石取石术治疗肾输尿管上段阴性结石的经验.方法 收治肾输尿管上段阴性结石患者30例,术前常规行超声、静脉肾盂造影和双肾CT平扫检查,重建CT三维成像以设计经皮肾穿刺通道.术中采用超声引导经皮肾穿刺造瘘碎石取石术.结果 30例手术均获成功,无中转开放手术.手术时间45～120 min,术中平均出血约100 ml,无一例出现大出血、肾盂穿孔和邻近脏器损伤等严重并发症,术后5 d拔除肾造瘘管，平均住院天数9 d.术后复查超声,一期结石取净率达100%.结论 术前行肾脏CT三维成像以设计经皮肾穿刺通道联合术中实时超声引导经皮肾镜碎石取石是治疗肾输尿管上段阴性结石的有效方法.

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更新日期/Last Update: 1900-01-01