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目的:探讨B超引导下斜仰卧位微创经皮肾镜取石术治疗上尿路结石的临床应用价值。方法:采用斜仰卧位微创经皮肾镜取石术治疗上尿路结石95例,其中肾结石83例,输尿管上段结石12例,观察其治疗效果。结果:所有患者行MPCNL均成功,一期结石清除率82.1%(78/95),有17例结石残余,术后需用ESWL辅助治疗,无严重并发症发生,平均手术时间90 min(50~120 min),平均住院7.8 d(5~9 d)。结论:B超引导下斜仰卧位经皮肾镜取石术是安全而有效的,并可防止辐射对术者手术团队及患者的影响,进行微创经皮肾镜手术时,斜仰卧位对术者麻醉师及患者是一个良好的手术体位选择。
Objective: To investigate the clinical value of ultrasonography guided oblique supine minimally invasive percutaneous nephrolithotomy in the treatment of upper urinary tract calculi. Methods: 95 cases of upper urinary tract calculi were treated with oblique supine minimally invasive percutaneous nephrolithotomy, including 83 cases of renal calculi and 12 cases of upper ureteral calculi. The therapeutic effect was observed. Results: MPCNL was successfully performed in all patients. The stone clearance rate of the first stage was 82.1% (78/95), there were 17 cases of residual stones. After ESWL adjuvant therapy, no serious complications occurred. The average operation time was 90 min (50 ~ 120 min), the average hospital stay 7.8 d (5 ~ 9 d). Conclusion: B-guided oblique supine percutaneous nephrolithotomy is safe and effective, and can prevent radiation on the surgery team and patients, minimally invasive percutaneous nephrolithotomy, oblique position on the surgery Anesthesiologists and patients are a good choice of surgical position.