B超与X线定位行经皮肾镜气压弹道碎石术效果比较

【摘要】 目的比较B超引导与X线定位行经皮肾镜气压弹道碎石术的临床治疗效果。方法将本院2009年10月～2011年10月收治的86名肾结石患者随机分为A组与B组,A组行X线定位行经皮肾镜气压弹道碎石术,B组行B超引导行经皮肾镜气压弹道碎石术,比较两组患者的手术时间及术后并发症的发生率及两组患者一期结石清除率及结石总清除率。结果 A组手术时间为(66.7±24.8)min,术后并发症的发生率为4.7%,一期结石清除率为81.4%,结石总清除率为93.0%,而B组手术时间为(70.1±20.6)min,术后并发症的发生率为9.3%,一期结石清除率为72.1%,结石总清除率为95.3%,两组的手术时间及总结石清除率无明显差异(P>0.05),但A组一期结石清除率及术后并发症的发生率显著优于B组(P<0.05)。结论应用X线定位较B超能够提高一期结石清除率,降低术后并发症发生率。更多还原

【Abstract】 Objective To compare the clinical efficiency between the pneumatic lithotripsy (PCNL) guided by B ultrasound and by X-ray. Methods From October 2009 to October 2011, 86 kidney stone patients were selected, and were randomly divided into group A and group B. group A was given PCNL guided by X ray, Group B was given PCNL guided B ultrasound, and then the operative time, incidence of postoperative complications, one stage stones clearance rate, overall stones clearance between the two groups were compared. Results The operative time, incidence of postoperative complications, one stage stones clearance rate, overall stones clearance was (66.7 ± 24.8) min, 4.7%, 81.4% and 93.0% for Group A, and (70.1 ± 20.6) min, 9.3%, 72.1%, 95.3% for group B. There was no significant difference between the operative time and overall stones clearance (P>0.05). One stage stones clearance rate and incidence of postoperative complications of group A was significantly better than group B (P<0.05). Conclusion The application of X-ray localization for PCNL can improve a stone clearance rate and reduce the incidence of postoperative complications.更多还原