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目的探讨C臂X线机定位Ⅰ期双通道经皮肾镜取石术治疗复杂性肾结石的临床效果。方法 2005年9月至2011年9月本院对38例复杂性肾结石,在C臂X线机定位下选择第1个经皮肾穿刺通道,对于该工作通道无法取到的结石再用C臂X线机重新定位穿刺,建立第2个通道。结果 38例患者术中双通道均顺利建立,手术时间1～3.5小时,平均2.5小时,术中出血80～300ml,平均160ml;术后住院时间7～14天,平均10天。36例患者Ⅰ期取净结石,2例术后残留结石行体外冲击波l～3次排净。结论Ⅰ期双通道微创经皮肾镜联合输尿管镜钬激光碎石治疗鹿角形肾结石取石速度快,住院时间短,恢复快,结石清除率较高,并发症低,经济方便,可作为较大鹿角形肾结石治疗的首选治疗方法。
Objective To investigate the clinical effect of C-arm X-ray machine positioning stage Ⅰ dual-channel percutaneous nephrolithotomy in the treatment of complex renal calculus. Methods From September 2005 to September 2011, 38 cases of complex renal calculi were treated in our hospital. The first percutaneous nephrostomy was selected under the C-arm X-ray. The stones that can not be obtained in this working channel were re-treated with C Arm X-ray machine re-positioning puncture, the establishment of the second channel. Results 38 cases of patients were successfully established dual-channel surgery, the operation time of 1 to 3.5 hours, an average of 2.5 hours, intraoperative bleeding 80 ~ 300ml, an average of 160ml; postoperative hospital stay of 7 to 14 days, an average of 10 days. 36 cases of patients with net stones in stage Ⅰ, 2 cases of postoperative residual stones in vitro shock wave l ~ 3 times row net. Conclusions Stage I dual-channel minimally invasive percutaneous nephrolithotomy combined with ureteroscopic holmium laser lithotripsy for the treatment of antler kidney stones is quick, short hospital stay, rapid recovery, high stone clearance, low complication, Large antler kidney stones treatment of choice for treatment.