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目的:总结经皮肾镜通道建立的经验、体会。方法:回顾性分析因结石住院行经皮肾镜碎石术的1200例患者临床资料,1 200例均行经皮肾镜碎石术。结果:1 192例患者均1次通道建立成功,另8例患者中2例择期2次穿刺成功、3例要求转院,另外3例在专家指导下穿刺成功,该8例患者均在开展该项目的早期阶段。结论:经皮肾镜是治疗上尿路结石的较好方法,具有创伤小、恢复快的优点,其关键是通道的建立,注重术中的经验体会及刻意的B超水平训练是成功建立通道的关键。
OBJECTIVE: To summarize the experience and experience of establishing percutaneous nephroscopy. Methods: The clinical data of 1,200 patients who underwent percutaneous nephrolithotomy underwent stone hospitalization were analyzed retrospectively. All the 1,200 patients underwent percutaneous nephrolithotomy. Results: 1 192 cases of patients were successfully established in one pass. In the other 8 cases, 2 cases underwent elective 2 puncture and 3 cases required transfer. The other 3 cases were successfully punctured under the expert guidance. All 8 patients underwent this project The early stages. Conclusion: Percutaneous nephrolithotomy is a good method for the treatment of upper urinary tract calculi. It has the advantages of small trauma and fast recovery. The key is to establish the channel, pay attention to the experience of surgery and deliberate B-level training to establish the channel key.