摘要
目的 探讨超声引导下经皮肾穿刺造瘘术（Ultrasound-guided percutaneous nephrostomy,UG-PCN）的临床价值.方法 将2013年1～12月收治的106例进行微造瘘经皮肾镜吸引取石术（PCNL）患者,随机分为观察组与对照组,每组53例,对照组在X线引导下行PCNL,观察组采用UG-PCN,比较两组患者一次穿刺成功率、手术时间、术中出血量、术后住院时间及术后并发症等.结果 观察组一次性穿刺成功率为100.0％,明显高于对照组的88.7％（x2=4.4167,P=0.0356）;观察组的手术时间为（60.4± 10.7） min,显著低于对照组的（67.2± 13.1） min,差异有统计学意义（P＜0.01）;而两组在术中出血量、术后住院时间、术后感染率、术后出血率等方面比较,差异无统计学意义（P＞0.05）.结论 UG-PCN手术具有方便、快速、疗效可靠等优点,是治疗泌尿系统相关疾病的有效手段.
Objective To explore the clinical value of ultrasound-guided percutaneous nephrelithotomy （UG-PCN）. Methods 106 cases admitted to hospital from January to December,2013,who underwent micro percutaneous nephrolithotomy（PCNL） ,were randomly divided into observation group and control group with 53 cases in each group.The control group underwent X-ray-guided PCNL,while the observation group underwent UG-PCN.Then, one-time successful puncture rate, operative time, amount of bleeding during operation, postoperative hospital stay and postoperative complication, etc. of the two groups were compared. Results The one-time successful puncture rate of the observation group wasl00%, significantly higher than that （88.7%） of the control group （ x2 = 4. 4167, P = 0. 0356）.The operative time of the observation group was （60. 4±10. 7） min,siguificantly lower than that （67.2±13. 1）min of the control group, so their difference was statistically significant（P〈0. 01 ）. Difference of amount in bleeding during operation, postoperative hospital stay, postoperative infection and postoperative bleeding between two groups were not statistically significant （P〉0.05）.Conclusion UG-PCN surgery is convenient,fast,effective and reliable,etc.It is an effective means of treatment of urinary system related diseases.
出处
《右江医学》
2014年第5期531-533,536,共4页
Chinese Youjiang Medical Journal
基金
赣州市2013年指导性科技计划(社会发展)项目(赣市科发〔2013〕19号)
关键词
超声
经皮肾穿刺造瘘术
X线
ultrasound
percutaneous gastrostomy
X-ray
