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目的探讨微创经皮肾穿刺取石术治疗输尿管上段结石及肾结石的有效性与安全性。方法对102例输尿管上段结石及肾结石患者运用微创经皮肾穿刺取石术治疗的资料进行回顾性分析。结果102例中99例获成功,3例中转开放手术。一次取净结石71例,二次取净结石14例,三次取净结石3例;结石总取净率86.30%。平均手术时间1.25h。术中估计出血量平均30ml。平均住院时间7d。无严重并发症发生。结论微创经皮肾穿刺输尿管镜取石术治疗输尿管上段结石及肾结石创伤小,出血少,结石取净率高,并发症少,恢复快。
Objective To investigate the effectiveness and safety of minimally invasive percutaneous nephrolithotomy in the treatment of upper ureteral calculi and kidney stones. Methods 102 cases of upper ureteral calculi and kidney stones were retrospectively analyzed with minimally invasive percutaneous nephrolithotomy. Results of 102 cases, 99 cases were successful, 3 cases were transferred to open surgery. 71 cases of net stones were taken at a time, the second taken in 14 cases of net stones, net stones in three cases 3 cases; total stone removal rate of 86.30%. The average operation time 1.25h. The estimated intraoperative bleeding average 30ml. The average length of stay 7d. No serious complications occurred. Conclusion Minimally invasive percutaneous nephrolithotomy ureteroscopic lithotripsy for the treatment of upper ureteral calculi and kidney stones trauma, less bleeding, high rate of stones taken, less complications, faster recovery.