摘要
目的:探讨B超联合C型臂X光机在经皮肾镜碎石术治疗复杂肾结石中的临床应用价值。方法:选取2014年1月-2015年6月本院收治的进行经皮肾镜碎石术治疗的63例患者为研究对象,根据术中定位方法的不同分为观察组30例和对照组33例,对照组给予B超定位,观察组给予B超联合C型臂X光机定位。比较两种不同定位方式术中、后的临床各项指标。结果:观察组手术时间、术中出血量、住院时间均低于对照组(P<0.05)。观察组术后并发症发生率为10.0%,明显低于对照组的45.45%;观察组一期取石率为96.67%,明显高于对照组的72.72%;观察组残留结石率为3.33%,明显低于对照组的21.21%,差异均有统计学意义(P<0.05)。两组患者术后1个月复查,积水改善、疼痛缓解、血尿缓解情况及结石复发比较差异均无统计学意义(P>0.05)。结论:在B超联合C型臂X光机引导下,有助于PCNL术中建立有效穿刺通道,是一种安全、简便、实用的定位手段值得临床应用并推广。
Objective: To explore clinical application value of B-mode ultrasonography combined with type C arm X-ray machine in the treatment of percutaneous nephroscope lithotripsy on complicated kidney stones. Method: 63 patients admitted in the Hospital for pereutaneous nephroscope lithotripsy treatment from January 2014 to June 2015 were selected as research subjects, who were divided into the observation group ( 30 patients ) and the control group ( 33 patients ) according to different intra-operative localization methods, patients in the control group were subject to B-mode ultrasonography positioning, and patients in the observation group were subject to hepatitis B-mode ultrasonography combined with type-C arm X-ray machine positioning. Intra-operative and post-operative clinical indicators of two different positioning methods were compared. Result: The operation duration, intra- operative blood loss and hospital stay of patients in the observation group were lower than those of patients in the the control group, and the difference satisfied ( P〈0.05 ) . The incidence of postoperative complications of patients in the observation group was 10.0%, lower than that 45.45% of patients in the control group. The removal rate of stones of patients in the observation group was 96.67%, significantly higher than that 72.72% of the control group. The rate of residual stones of patients in the observation group was 3.33%, obviously lower than that 21.21% of the control group. These indicators between the two groups were compared, the differences had statistical significance ( P〈0.05 ) . Postoperative one-month review, hydropsy improvement, pain relief, ease conditions and calculi recurrence of hematuresis of two groups had no differences ( P〉0.05 ) . Conclusion: The guidance of B-mode ultrasonography combined C arm X-ray machine contributes to the establishment of intra-operative effective PCNL puncture channel, being a safe, simple and practical method and worthy of clinical application and promotion.
出处
《中国医学创新》
CAS
2016年第6期66-69,共4页
Medical Innovation of China
关键词
X线
B超
经皮肾镜碎石术
复杂肾结石
应用价值
X-ray
B-mode ultrasonography
Percutaneous nephroscope lithotripsy
Complexkidney stones
Application value