CTU在微通道经皮肾镜取石术中的应用价值探讨

许祥; 熊林; 姜奕; 卢振权; 罗光彦

doi:10.13201/j.issn.1001-1420.2017.08.017

CTU在微通道经皮肾镜取石术中的应用价值探讨

- 香港大学深圳医院泌尿外科(广东深圳, 518000)

详细信息

通讯作者: 罗光彦,E-mail:xux@hku-szh.org

中图分类号: R699.1

收稿日期: 2016-10-05

Value of the application of CTU in mini-PCNL

- Department of Urology, HongKong University Shenzhen Hospital, Shenzhen, Guangdong, 518000, China

More Information

Corresponding author: LUO Guang-yan, E-mail: xux@hku-szh.org

Received Date: 05 October 2016

摘要

摘要: 目的:评估术前CTU在微通道经皮肾镜取石术(Mini-PCNL)中的临床价值。方法:收集2013年12月~2016年6月采用Mini-PCNL治疗的115例患者的临床资料并进行回顾性分析,根据术前影像学检查将患者分为CTU组和CT平扫组。比较两组患者手术时间、住院时间、术后结石清除率、出血等并发症并进行统计分析。结果:CTU组60例,CT平扫组55例。CTU组血红蛋白下降值明显低于CT平扫组[(3.67±2.27) g/L vs.(5.86±3.33) g/L],差异有统计学意义(P<0.05)。CTU组在手术时间[(100.63±18.26) min vs.(105.50±15.37) min],住院时间[(11.57±2.78) d vs.(12.39±2.85) d],一期结石清除率(81.6% vs.72.7%),二期结石清除率(91.6% vs.89.1%)等方面与CT平扫组相比较,差异均无统计学意义(P>0.05)。结论:采用CTU术前定位并结合术中彩超引导穿刺能减少PCNL术中出血量,在肾结石的治疗中具有较明显的有效性及安全性。
- CTU /
- 微通道 /
- 经皮肾镜取石术 /
- 穿刺
Abstract: Objective:To evaluate the clinical value of computed tomography urography (CTU) in mini-percutaneous nephrolithotripsy (PCNL). Method:From December 2013 to June 2016, 115 patients with renal or ureteral calculi were treated with mini-PCNL.Sixty patients received CTU.Fifty-five patients received non-contrast CT.The complications and the clinical characteristics of the patients were recorded.We compared the efficacy and complication between the two groups.Result:There was significant statistical difference in hemoglobin drop [CTU group (3.67±2.27) g/L vs.non-contrast CT group (5.86±3.33) g/L] (P<0.05). However, no significant statistical difference in operation time [ (100.63±18.26) min vs. (105.50±15.37) min], hospital stay [ (11.57±2.78) d vs. (12.39±2.85) d], one stage stone clearance rate (81.6% vs 72.7%), second stage stone clearance rate (91.6% vs 89.1%) was found (P>0.05). Conclusion:The patients who received CTU prior to mini-PCNL experience lower drop of hemoglobin.The results suggest that the use of CTU prior to mini-PCNL is effective and safe.
- computed tomography urography /
- mini-tract /
- percutaneous nephrolithotripsy /
- puncture

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