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目的探讨经皮肾镜气压弹道超声碎石术治疗肾结石的临床疗效。方法回顾分析120例患者的临床资料。结果本组120例均成功建立皮肾通道,平均手术时间85min,结石处理时间为10～120min,未出现气胸、肠道损伤等并发症,均顺利完成手术,无中转手术及严重并发症病例。结石处理时间为(59±17)min;手术时间为(87±23)min,平均失血量为(81±31)ml,全部患者不需要输血;住院时间(7.5±4.6)d;仅1例术后出现高热,经用抗菌素及对症等处理,高热很快得到控制;本组未出现与碎石器相关的并发症。结论经皮肾镜气压弹道超声碎石术治疗肾结石具有操作简单、安全可靠,结石清除率高、创伤小、并发症少、恢复快等优点,值得临床推广应用。
Objective To investigate the clinical effect of percutaneous nephrolithotracheal lithotripsy on renal calculus. Methods The clinical data of 120 patients were retrospectively analyzed. Results The group of 120 cases were successfully established the renal access, the average operation time 85min, stone treatment time was 10 ~ 120min, no complications such as pneumothorax, intestinal injury and so on, were successfully completed surgery, no transit surgery and serious complications. The time of operation was (59 ± 17) min. The operation time was (87 ± 23) min and the average blood loss was (81 ± 31) ml. No blood transfusion was required in all patients. The hospitalization time was 7.5 ± 4.6 days. Postoperative fever, the use of antibiotics and symptomatic treatment, fever was quickly controlled; the group did not appear complications associated with lithotripsy. Conclusion Percutaneous nephroscope pneumatic lithotripsy for the treatment of renal stones with simple, safe, reliable, high rate of stone removal, less trauma, fewer complications, rapid recovery, worthy of clinical application.