| 摘要: |
| ［摘要］ 目的 探讨螺旋CT三维重建影像在经皮肾镜取石术中的临床应用价值。方法 选取该院2015-01～2016-10收治的肾结石患者52例（其中6例为双侧）进行回顾性研究，均于手术前行螺旋CT扫描和影像三维重建，并在超声引导下行经皮肾镜取石术，对检查结果和手术情况进行分析。结果 （1）本组患者行经皮肾镜取石术52例（58侧），其中46例（50侧）行单通道手术，6例（8侧）行双通道手术。（2）一期手术45例（49侧)，二期取石3例（5侧），中转开放手术4例（4侧），手术时间为15 min～6 h，平均（2.31±1.02）h，结石清除率为84.48%，平均住院（12.83±3.24）d。（3）未见出血以及周围脏器损伤等并发症。结论 螺旋CT三维重建影像在经皮肾镜取石术中具有较高的临床应用价值，可增加手术穿刺径路的精确度，预防周围脏器损伤，控制术中出血，有效清除结石。 |
| 关键词: 螺旋CT 三维重建影像 经皮肾镜取石术 临床应用 |
| DOI：10.3969/j.issn.1674-3806.2017.07.02 |
| 分类号:R 692.4 |
| 基金项目:肇庆市科技创新计划项目（编号：2013E123） |
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| Clinical application of spiral CT three-dimensional reconstruction imaging for percutaneous nephrolithotomy |
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HUANG Zi-Rong, WU Bing-Quan, LIU Zhao-hua, et al.
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Department of Urology, the First People′s Hospital of Zhaoqing City, Guangdong 526040, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical application value of spiral CT three-dimensional reconstruction imaging in percutaneous nephrolithotomy.Methods The data of 52 patients with renal stones(including bilateral stones in 6 cases) in our hospital From January 2015 to October 2016 were retrospectively analyzed. Spiral CT scanning and three-dimensional reconstruction imaging were performed before operation and percutaneous nephrolithotomy was performed under the guidance of ultrasound. The operation results were analyzed.Results (1)52 cases(58 sides) were performed nephrolithotomy, among whom 46 cases(50 sides) were performed single channel operation, and 6 cases(8 sides) underwent dual channel operation. (2)45 cases(49 sides) received one-stage operation. 3 cases(5 sides) were performed second-stage operation. 4 cases(4 sides) were converted to open surgery. The time for operation was 15 min～6 h, with an average of (2.31±1.02)h. The stone clearance rate was 84.48%, and the average hospitalization stay was (12.83±3.24)days. (3)No complications such as bleeding and surrounding organs damage were found.Conclusion The spiral CT three-dimensional reconstruction imaging has a high clinical application value in percutaneous nephrolithotomy. |
| Key words: Spiral computed tomography(CT) Three-dimensional reconstruction imaging Percutaneous nephrolithotomy Clinical application |
