论文部分内容阅读
目的探讨术前X线摄片体表标记定位引导下行微创经皮肾镜取石术(MPCNL)的临床效果。方法211例肾结石患者,采取手术前一天模拟术中的俯卧位,在电视X线机下进行结石体表标记定位。结果术中根据术前定位标志,引导穿刺成功建立经皮肾通道193例,仍需C臂X线机引导穿刺5例,需B超引导穿刺2例。结石清除率88.73%,平均手术时间2 h,无术中输血病例,平均住院时间(10±2)d。结论术前X线机下标记定位行微创经皮肾镜取石术效果好,适合在基层医院推广。
Objective To investigate the clinical effect of preoperative radiography and surface marker-guided minimally invasive percutaneous nephrolithotomy (MPCNL). Methods A total of 211 cases of kidney stones were treated with prone position in the simulated operation on the day before surgery. Results According to the preoperative localization and sign, 193 cases of percutaneous renal access were successfully established by guided puncture, and 5 cases were still needed by C-arm X-ray machine. Two cases were required B-guided puncture. Stone clearance rate was 88.73%, the average operation time was 2 h, no intraoperative blood transfusion, the average length of stay (10 ± 2) d. Conclusion The preoperative X-ray machine under the mark of minimally invasive percutaneous nephrolithotomy lithotripsy is good, suitable for promotion in primary hospitals.