当前位置: 首页 > 期刊 > 《中国医药科学》 > 2017年第9期
编号:13094060
SonixGPS影像穿刺定位在脊柱畸形伴上尿路结石中的临床应用(1)

     [摘要] 目的 探討SonixGPS影像穿刺定位系统在经皮肾镜治疗脊柱畸形伴上尿路结石患者的安全性及有效性。方法 从2014年1月~2016年1月,我院共收集脊柱畸形伴上尿路结石患者60例,男35例,女25例,平均年龄57.3 (44~77)岁。所有患者均经B超、KUB、CT检查确诊为脊柱畸形伴上尿路结石。按照穿刺方法将患者随机分为SonixGPS影像穿刺和B超定位穿刺法,比较并分析两组穿刺方法对患者术后血液动力学变化和肾功能的变化。结果 SonixGPS影像穿刺组患者均一次穿刺成功并行一期碎石,手术时间35~120min,平均55min,经皮肾穿刺时间2~15min,平均6min。术中术后未出现大出血、肠道损伤、气胸等并发症。SonixGPS影像穿刺组的患者碎石后,血液动力学变化如血红蛋白、红细胞压积和血氧饱和度以及术后肾功能的变化均优于常规B超定位穿刺组,两组间差异具有统计学意义(P<0.05)。结论 SonixGPS影像穿刺定位系统可精准地看到穿刺针在组织中的穿刺轨迹,缩短了术中穿刺的时间。与常规B超穿刺法相比,脊柱畸形伴上尿路结石患者采用SonixGPS影像穿刺法降低了术后并发症的发生,值得在临床推广应用。

    [关键词] 脊柱畸形;肾结石;经皮肾镜取石术;超声引导

    [中图分类号] R693 [文献标识码] A [文章编号] 2095-0616(2017)09-20-05

    Clinical application of SonixGPS image puncture location in spinal deformity accompanied by upper urinary calculi

    LU Suilin QI Defeng LIU Guanzhao ZENG Guohua

    Department of Urinary Surgery, the First Affiliated Hospital of Guangzhou Medical University,Key Laboratory of Department of Urinary Surgery, Institute of Department of Urinary Surgery, Guangzhou 510120, China

    [Abstract] Objective To explore the safety and effectiveness of SonixGPS image puncture location system in treatment of patients with spinal deformity accompanied by upper urinary calculi under percutaneous nephroscope. Methods 60 patients with spinal deformity accompanied by upper urinary calculi from January 2014 to January 2016 in our hospital were collected. Of whom, there were 35 male cases and 25 female cases, with the average age of 57.3(44-77). All patients were diagnosed as spinal deformity accompanied by upper urinary calculi by B ultrasound, KUB and CT. Patients were randomly divided into the SonixGPS image puncture and B ultrasound located puncture method according to puncture methods. Effects of puncture methods on postoperative hemodynamics and renal function of patients were compared and analyzed. Results Patients in the SonixGPS image puncture group were punctured successfully in one time and underwent one stage lithotripsy. Operative time was ranging from 35 to 120 mins and the average time was 55 mins. Time of percutaneous renal puncture was ranging from 2 to 15 mins and the average time was 6 mins. No complication such as massive hemorrhage, intestinal injury and pneumothorax occurred in and after operation. After lithotripsy, hemodynamic changes of patients in SonixGPS image puncture group such as hemoglobin, hematocrit, blood oxygen saturation and postoperative renal function were all better than those of the B ultrasound located puncture group. There were significant differences between two groups(P<0.05). Conclusion SonixGPS image puncture location system can precisely see puncture tracks of puncture needles and shorten intraoperative puncture time. Compared with routine B ultrasound puncture method, application of SonixGPS image puncture location in patients with spinal deformity accompanied by upper urinary calculi can reduce the occurrence of postoperative complications, which is worthy of clinical promotion and application.(卢穗琳?戚德峰?刘冠炤?曾国华)
1 2 3 4下一页
    濠电儑绲藉ú鐘诲礈濠靛洤顕遍柛娑卞枤椤╃兘鏌涘☉鍗炲閺夆晜妫冮弻娑樷枎韫囨挴鍋撴禒瀣劦妞ゆ巻鍋撻柛鐘崇〒濡叉劕鈹戦崶鈹炬灃閻庡箍鍎卞Λ娑㈠焵椤掑鐏︽鐐差儔楠炲洭顢旈崨顓炵哎濠电偠鎻徊鎯洪幋鐘典笉闁挎繂鎷嬮崵鍫澪旈敂绛嬪劌闁哥偞鎸抽弻鏇㈠幢閺囩姴濡介柣銏╁灠缂嶅﹪骞婇敓鐘茬疀妞ゆ挾鍋熸禒鎰版⒑閸︻厐鐟懊洪妶鍥潟闁冲搫鎳庤繚闂佺ǹ鏈粙鎺楁倵椤斿墽纾奸柡鍐ㄥ€稿暩婵犫拃鍕垫疁鐎殿喖鐖煎畷姗€濡歌閸撴垶绻涚€涙ḿ鐭婂Δ鐘叉憸閺侇噣顢曢敂钘夘€涘┑锛勫仜婢х晫绮欐繝鍥ㄧ厸濠㈣泛锕ら弳鏇熸叏閻熼偊妯€闁轰礁绉撮悾婵嬪礃椤垳鎴烽梻浣筋嚃閸犳捇宕濊箛娑辨晣缂備焦岣块埢鏃堟煟閹寸儑渚涢柛鏂垮暣閺岋繝宕掑顓犵厬缂備焦顨呴ˇ閬嶅焵椤掑喚娼愮紒顔肩箻閿濈偤鏁冮崒姘卞摋闁荤娀缂氬▍锝囩矓閸喓鈧帒顫濋鐘闂侀潧娲ゅú銊╁焵椤掑偆鏀版繛澶嬬洴瀹曘垽濡堕崶銊ヮ伕閻熸粎澧楃敮妤咃綖婢舵劖鍋i柛銉娑撹尙绱掓潏銊х畼闁归濞€閹粓鎸婃径澶岀梾濠电偛顕慨楣冨春閺嶎厼鍨傞柕濞炬櫆閸嬨劌霉閿濆懎鏆熸俊顖氱墦濮婃椽顢曢敐鍡欐闂佺粯鎼换婵嬬嵁鐎n喖绠f繝濠傚閹枫劑姊洪幐搴b槈闁哄牜鍓熷畷鐟扳堪閸曨収娴勫銈嗗笂閻掞箓寮抽鍫熺厱闁瑰搫绉村畵鍡涙煃瑜滈崜姘潩閵娾晜鍋傞柨鐔哄Т鐟欙箓骞栭幖顓炵仯缂佲偓婢跺⊕褰掑礂閸忚偐娈ら梺缁樼箖閻╊垰鐣烽敓鐘茬闁肩⒈鍓氶鎴︽⒑鐠団€虫灁闁告柨楠搁埢鎾诲箣閻愭潙顎撳┑鐘诧工閸燁垶骞嗛崒姣綊鎮╅幓鎺濆妷濠电姭鍋撻柟娈垮枤绾鹃箖鏌熺€电ǹ啸鐟滅増鐓¢弻娑㈠箳閺傚簱鏋呭┑鐐叉噹闁帮絾淇婇幘顔芥櫢闁跨噦鎷�

   闁诲海鏁婚崑濠囧窗閺囩喓鈹嶅┑鐘叉搐濡﹢鏌涢妷銏℃珖鐟滃府鎷�  闂備胶枪缁绘鈻嶉弴銏犳瀬闁绘劗鍎ら崕宀勬煟閹伴潧澧い搴嫹  闂佽崵濮村ú銈団偓姘煎灦椤㈡瑩骞嬮敃鈧粈鍕煟濡绲荤紓宥忔嫹  闂備胶鎳撻崥瀣垝鎼淬劌纾奸柕濞炬櫅閸楁娊鏌℃径瀣劸婵☆垽鎷�