静脉肾盂造影压迫器的改进与临床应用研究——附压迫点及压迫时机的确定与选择

Intravenous Pyelography Compressor Improvement and Clinical Practice Research——Attach the Oppression Point and the Oppression Opportunity Determination and the Choice

目的:探讨静脉肾盂造影压迫器的改进和压迫点及压迫时机的选择,提高造影成功率和尿路显示质量。材料与方法:废弃了传统的气囊多头腹带压迫器,制作了新式圆弧型压迫器,改进的压迫器腹带上有标尺刻度,不但起压迫和固定作用,同时又起到了对压力的量化控制作用;同时对腹部压迫点和压迫时机做了正确选择,即八字行压迫器垫应置于"两髂前上棘连线中点的两侧"作为正确压迫点;其压迫时机是,造影剂注射完毕后3分钟时开始对"腹部压迫点"实施压迫;其加压量化指标为注射造影剂前"预加压"的量化数值。结果:应用改进方法行静脉肾盂造影60例,无1例失败,造影成功率达到100%,均达到诊断要求。结论:造影效果提示我们,只有改进压迫器并将压迫器置于正确的压迫点再加上恰当的压力和压迫时机,才能取得满意的静脉肾盂造影效果。

Purpose： The discussion intravenous pyelography compressor inprovement and the oppression opportunity choice, enhances the pyelography success ratio and the urine road display quality. Materials and Methods： Has abandoned traditional aero cyst many abdominal binder compressor, has fabrication the new are form compressor, the improvement compressor abdominal bandage on has the rod scale division, not only the oppression and the damping action, simuhaneously responsible the pressure quantification control action; Meanwhile and the oppression opportunity has made the correct choice to tie abdomen oppression, namely the caret shaped line of oppression pad should ＂set to two spina iliaca anterior superior center point two sides＂ took the correct oppression spot, its oppression opportunity is, after the intravenous pyelography contrast medium injection finished when 3 minutes starts to ＂the abdomen oppression point＂ the implementation oppression, it pressurizes the quantification target wants for the injection contrast medium in front of to pressurize the quantification value. Results： Using the improvement method good intravenous pyelograpby 60 examples, does not have an example defeat , the pyelography success ratio achieves 100%, whole to achieve the diagnosis requirements. Conclusion： The intavenous pyelography effect prompts us, will only have the improvement oppression and the compressor standing correct oppression spot adds on the appropriate pressrre and the oppression opportunity again, will be able to obtain satis- factory the intravenous pyelography result.