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目的:探讨微通道经皮肾镜取石术治疗输尿管上段结石的处理方法。方法:在B超引导下,对180例输尿管上段结石行微通道经皮肾镜取石术的患者资料作回顾性分析。结果:所有病例术中及术后无输血,术中结石移位10例,一次性结石清除率为94.5%;术后高热7例,无脓毒症发生;术后血尿持续时间平均3.5天,无肾血管栓塞病例。结论:微通道经皮肾镜取石术治疗输尿管上段结石疗效可靠,手术并发症少,B超引导建立相对理想的经皮肾通道是手术成功的关键。
Objective: To discuss the treatment of upper ureteral calculi by microchannel percutaneous nephrolithotomy. Methods: The data of 180 patients with upper ureteral calculi undergoing percutaneous nephrolithotomy underwent retrospective analysis under B-guided ultrasound. Results: In all cases, there was no intraoperative and postoperative blood transfusion, intraoperative stone displacement in 10 cases, one time stone clearance rate was 94.5%; postoperative fever in 7 cases, no sepsis; postoperative hematuria duration of an average of 3.5 days, No cases of renal embolism. Conclusion: Micro-channel percutaneous nephrolithotomy for the treatment of upper ureteral calculi is reliable and has few complications. Establishing a relatively ideal percutaneous renal channel by B-ultrasound is the key to successful operation.