摘要
目的：探讨64排CT行泌尿系非增强三维重建对经皮肾镜手术的临床疗效和参考价值。方法选择2011年2月-2013年2月我院100例行经皮肾镜手术取石的患者作为观察对象，根据影像学检查方法随机分为观察组和对照组各50例，观察组行CT非增强三维重建，对照组行泌尿造影，对比两组患者在手术过程中所用时间、术中出血量、结石清除率、穿刺成功率等。结果两组在手术时间、术中出血量、穿刺通道数目及结石清除率方面无明显差异(P>0.05)，但观察组穿刺成功率高于对照组，手术时间明显短于对照组，差异有统计学意义(P<0.05)。结论采用64排CT行泌尿系非增强三维重建对经皮肾镜手术的临床疗效确切，具有较高的穿刺成功率，能缩短手术时间，可作为常规影像学检查方法。
Abstract
Objective To investigate the clinical efficacy and reference value of 64 rows CT urinary non enhanced 3D reconstruction to percutaneous nephrolithotomy operation. Methods Chosed 100 cases of percutaneous nephrolithotomy lithotomy operation patients from February 2011 to February 2013 in our hospital as theobservation object, according to the imaging methods, the cases were randomly divided into observation group and control group, 50 cases in each group, observation group underwent CT non enhanced 3D reconstruction, control group with urography, two groups were compared with time, amount of bleeding, the stone clearance rate, the success rate of puncture in the operationprocess. Results Two groups in the operation time, bleeding volume, puncture channel number and the stone clearance rate had no significant difference, but observation group in puncture success rate was higher than control group, operation time in observation group was shorter than control group, the difference was statistically significant. Conclusion The clinical effect of 64 rows CT urinary non enhanced 3D reconstruction to percutaneous nephrolithotomy operation is exact, and has a higher success rate of puncture,can shorten the operation time, can be used as a routine imaging method.
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维普
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