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【目的】探讨肾内型肾盂合并复杂性肾结石的合适手术取石方法。【方法】回顾性分析应用肾内型肾盂切开加直视下气压冲击碎石术处理肾内型肾盂合并复杂性肾结石258例临床资料。【结果】全部病例均取石顺利,术后残余结石35例,后经 ESWL 或 PCN 取净18例。术中出血少、肾功能恢复良好。【结论】肾内型肾盂切开加直视下气压冲击碎石具有操作简便、结石取尽率高、肾功能损伤小、术中出血少等优点,是处理本病的合适方法。
【Objective】 To explore a suitable surgical stone removal method for intra-renal pelvis complicated with renal calculi. 【Methods】 A retrospective analysis of 258 patients with intra-renal pelvis complicated with renal stones treated with intra-renal pelvic incision and air-pressure lithotripsy was performed. 【Results】 All patients were successful in stone removal, 35 cases of residual stones after operation, and 18 cases were taken after ESWL or PCN. Less bleeding, renal function recovered well. 【Conclusion】 Intrarenal pyelolithotomy and pneumoperitoneum impact lithotripsy is an appropriate method to treat this disease with the advantages of simple operation, high exhaustion of stones, less damage to renal function and less intraoperative bleeding.