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目的:探讨超微通道经皮肾镜碎石术治疗上尿路结石的疗效及安全性。方法:回顾性分析2015年7~12月期间采用超微通道经皮肾镜碎石术治疗26例上尿路结石患者的临床资料。结果:26例患者均顺利完成手术,无一例发生大出血、感染等重大并发症。平均手术时间(28.6±9.3)min,术前血红蛋白平均(128.3±15.6)g/L,术后血红蛋白平均(119.7±11.6)g/L,术后尿管留置1d,术后平均住院(3.5±1.3)d。结论:超微通道经皮肾镜碎石术具有创伤小、出血风险小、术后无需留置肾造瘘管、恢复快、住院时间短等优点,值得广大基层医院推广。
Objective: To investigate the efficacy and safety of ultra-microchannel percutaneous nephrolithotomy in upper urinary tract calculi. Methods: The clinical data of 26 cases of upper urinary tract calculi treated with ultra-microchannel percutaneous nephrolithotomy were retrospectively analyzed from July to December in 2015. Results: Twenty-six patients successfully completed the operation, no case of major bleeding, infection and other major complications. The mean operative time was (28.6 ± 9.3) min, the average preoperative hemoglobin was (128.3 ± 15.6) g / L, postoperative hemoglobin was (119.7 ± 11.6) g / L, postoperative catheter was placed for 1 day, average postoperative hospital stay was 3.5 ± 1.3) d. Conclusion: Micro channel percutaneous nephrolithotripsy has the advantages of less trauma, less risk of bleeding, no need of indwelling nephrostomy, quick recovery and shorter hospital stay, which is worth to promote in primary hospitals.