The value of spiral CT 3 d reconstruction in the percutaneous nephrolithotomy for patients with stone antlers
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摘要: 目的:探讨螺旋CT三维重建在PCNL术治疗鹿角型结石的应用价值。方法:我院于2009年8月~2011年8月对鹿角型结石患者术前行多层螺旋CT三维重建,以指导选择最佳穿刺径路。结果:36例患者手术穿刺盏与术前CT三维重建设计目标肾盏基本一致,其中单通道25例,双通道9例,三通道2例。一期手术结石取净率88.9%(32/36),二次手术结石取净率91.7%(11/12)。无严重并发症发生。结论:CT三维重建能准确显示尿路的解剖结构,对PCNL选择合适的穿刺径路有指导意义。Abstract: Objective: To study the value of spiral CT 3 d reconstruction in the percutaneous nephrolithotomy (PCNL)for patients with stone antlers.Method: Our hospital from August 2009 to August 2011, type of stone of preoperative patients do antler multislice CT 3 d reconstruction, in order to guide to choose the best puncture route.Result: Thirty-six patients with preoperative CT surgery puncture lamp that 3 d reconstruction design goal renal lamp that basic consistently; One single channel 25 cases, double channel 9 cases, three-channel in 2 cases. A period take net rate 88.5%(32/36) operation stone, a second surgery stone take net rate was 91.6%(11/12). With no major complications.Conclusion: Spiral CT 3 d reconstruction could show the anatomical structure of the urinary tract, and guide to choose the appropriate puncture route in PCNL.
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Key words:
- percutaneous nephrolithotomy /
- puncture /
- tomography /
- X-ray computer
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