Jinglei Wang, Fangwei You, Wentao Deng, Junfang Yang
{"title":"超声联合计算机断层图像融合技术指导经皮肾镜取石术治疗复杂肾结石的疗效观察。","authors":"Jinglei Wang, Fangwei You, Wentao Deng, Junfang Yang","doi":"10.56434/j.arch.esp.urol.20257802.30","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Percutaneous nephrolithotomy (PCNL) has become a standard surgical procedure for treating complex renal calculi. This study aims to explore the effect of ultrasound combined with computed tomography (CT) image fusion technology and to guide PCNL for treating complex renal calculi.</p><p><strong>Methods: </strong>A total of 130 patients with complex renal calculi who were admitted in our hospital from April 2021 to April 2023 were selected. After excluding four cases who did not meet the inclusion criteria, 126 cases were finally included. Based on the different treatment paths of PCNL, patients were divided into two groups. Among them, 60 patients who received CT guidance combined with ultrasound image fusion technology were selected as the observation group, and 66 patients who received routine guidance were included in the control group. The perioperative parameters and postoperative complications of patients in both groups were compared.</p><p><strong>Results: </strong>The observation group had shorter operation time and lower reoperation rate than the control group (<i>p</i> < 0.05). The first calculi clearance rate of the observation group was 88.33%, which was distinctly higher than that of the control group (71.21%, <i>p</i> < 0.05). However, no significant difference in length of hospital stay after surgery was found between the two groups (<i>p</i> > 0.05). The establishment time of a single channel and the average number of puncture channels were lower in the observation group than in the control group (<i>p</i> < 0.05). The success rate of establishing an initial channel in the observation group was 93.33%, which was significantly higher than that in the control group (80.30%, <i>p</i> < 0.05). The observation group had a significantly higher postoperative hemoglobin level than the control group (<i>p</i> < 0.05). No significant difference in serum creatinine level was found between the two groups (<i>p</i> > 0.05). The postoperative incidence of complications in the observation group was 6.67%, which was distinctly lower than that in control group (19.70%, <i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>The combination of CT and ultrasound image fusion technology for PCNL in the treatment of complex renal calculi demonstrates good clinical efficacy and high safety.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 2","pages":"224-229"},"PeriodicalIF":0.6000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of Ultrasound Combined with Computed Tomography Image Fusion Technology to Guide Percutaneous Nephrolithotomy for Treating Complex Renal Calculi.\",\"authors\":\"Jinglei Wang, Fangwei You, Wentao Deng, Junfang Yang\",\"doi\":\"10.56434/j.arch.esp.urol.20257802.30\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Percutaneous nephrolithotomy (PCNL) has become a standard surgical procedure for treating complex renal calculi. This study aims to explore the effect of ultrasound combined with computed tomography (CT) image fusion technology and to guide PCNL for treating complex renal calculi.</p><p><strong>Methods: </strong>A total of 130 patients with complex renal calculi who were admitted in our hospital from April 2021 to April 2023 were selected. After excluding four cases who did not meet the inclusion criteria, 126 cases were finally included. Based on the different treatment paths of PCNL, patients were divided into two groups. Among them, 60 patients who received CT guidance combined with ultrasound image fusion technology were selected as the observation group, and 66 patients who received routine guidance were included in the control group. The perioperative parameters and postoperative complications of patients in both groups were compared.</p><p><strong>Results: </strong>The observation group had shorter operation time and lower reoperation rate than the control group (<i>p</i> < 0.05). The first calculi clearance rate of the observation group was 88.33%, which was distinctly higher than that of the control group (71.21%, <i>p</i> < 0.05). However, no significant difference in length of hospital stay after surgery was found between the two groups (<i>p</i> > 0.05). The establishment time of a single channel and the average number of puncture channels were lower in the observation group than in the control group (<i>p</i> < 0.05). The success rate of establishing an initial channel in the observation group was 93.33%, which was significantly higher than that in the control group (80.30%, <i>p</i> < 0.05). The observation group had a significantly higher postoperative hemoglobin level than the control group (<i>p</i> < 0.05). No significant difference in serum creatinine level was found between the two groups (<i>p</i> > 0.05). The postoperative incidence of complications in the observation group was 6.67%, which was distinctly lower than that in control group (19.70%, <i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>The combination of CT and ultrasound image fusion technology for PCNL in the treatment of complex renal calculi demonstrates good clinical efficacy and high safety.</p>\",\"PeriodicalId\":48852,\"journal\":{\"name\":\"Archivos Espanoles De Urologia\",\"volume\":\"78 2\",\"pages\":\"224-229\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archivos Espanoles De Urologia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.56434/j.arch.esp.urol.20257802.30\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archivos Espanoles De Urologia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.56434/j.arch.esp.urol.20257802.30","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Efficacy of Ultrasound Combined with Computed Tomography Image Fusion Technology to Guide Percutaneous Nephrolithotomy for Treating Complex Renal Calculi.
Background: Percutaneous nephrolithotomy (PCNL) has become a standard surgical procedure for treating complex renal calculi. This study aims to explore the effect of ultrasound combined with computed tomography (CT) image fusion technology and to guide PCNL for treating complex renal calculi.
Methods: A total of 130 patients with complex renal calculi who were admitted in our hospital from April 2021 to April 2023 were selected. After excluding four cases who did not meet the inclusion criteria, 126 cases were finally included. Based on the different treatment paths of PCNL, patients were divided into two groups. Among them, 60 patients who received CT guidance combined with ultrasound image fusion technology were selected as the observation group, and 66 patients who received routine guidance were included in the control group. The perioperative parameters and postoperative complications of patients in both groups were compared.
Results: The observation group had shorter operation time and lower reoperation rate than the control group (p < 0.05). The first calculi clearance rate of the observation group was 88.33%, which was distinctly higher than that of the control group (71.21%, p < 0.05). However, no significant difference in length of hospital stay after surgery was found between the two groups (p > 0.05). The establishment time of a single channel and the average number of puncture channels were lower in the observation group than in the control group (p < 0.05). The success rate of establishing an initial channel in the observation group was 93.33%, which was significantly higher than that in the control group (80.30%, p < 0.05). The observation group had a significantly higher postoperative hemoglobin level than the control group (p < 0.05). No significant difference in serum creatinine level was found between the two groups (p > 0.05). The postoperative incidence of complications in the observation group was 6.67%, which was distinctly lower than that in control group (19.70%, p < 0.05).
Conclusions: The combination of CT and ultrasound image fusion technology for PCNL in the treatment of complex renal calculi demonstrates good clinical efficacy and high safety.
期刊介绍：
Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.
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