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目的探讨B超引导下微创经皮肾穿刺取石术(mPCNL)的疗效及安全性。方法对78例接受mPCNL治疗的上尿路结石患者的临床资料进行回顾性分析。结果78例患者中,76例在B超引导下成功建立皮肾通道,2例中转开放手术;73例成功施行一期取石,3例因出血而施行微造瘘术;一期取净结石42例,二期取净结石21例,三期取净结石3例,结石总取净率84.6%。结论B超引导下经皮肾穿刺取石术具有简便、可靠、损伤小、恢复快、并发症少等优点。
Objective To investigate the efficacy and safety of B-guided minimally invasive percutaneous nephrolithotomy (mPCNL). Methods The clinical data of 78 patients with upper urinary tract calculi undergoing mPCNL were retrospectively analyzed. Results Of the 78 patients, 76 cases underwent B-mode ultrasonography to establish the renal access and 2 cases underwent open surgery; 73 cases were successfully performed the first stage stone, 3 cases were performed micro-fistula due to hemorrhage; Cases, two take net stones in 21 cases, three cases of net stones in 3 cases, the total recovery rate of stones was 84.6%. Conclusion B-guided percutaneous nephrolithotomy is simple, reliable, less injury, rapid recovery, less complications and so on.