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目的探讨微创经皮肾镜顺行取石术(MPCNL)治疗输尿管上段结石的临床疗效。方法对2008年9月至2009年5月期间36例输尿管上段结石采用微创经皮肾镜顺行取石术(MPCNL)治疗,回顾性分析其临床资料。结果36例患者中34例一次取净结石,2例因术中出血,改期二次手术取净结石,结石一次取净率94.4%(34/36),结石总取净率100%(36/36)。结论微创经皮肾镜顺行取石术(MPCNL)治疗输尿管上段结石具有结石取净率高、疗效可靠、创伤小、恢复快等优点,是治疗输尿管上段结石的理想方法。
Objective To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy (MPCNL) in the treatment of upper ureteral calculi. Methods Thirty - six cases of upper ureteral calculi treated by MPCNL during September 2008 to May 2009 were retrospectively analyzed. Results Thirty-four of the 36 patients received neoplasm one time, and the other two patients received neoplasm twice due to hemorrhage during operation. The total stone removal rate was 94.4% (34/36) and the total stone removal rate was 100% (36 / 36). Conclusion Minimally invasive percutaneous nephrolithotomy (MPCNL) for the treatment of upper ureteral calculi has the advantages of high rate of stone removal, reliable curative effect, small trauma and quick recovery. It is an ideal method for the treatment of upper ureteral calculi.