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目的探讨超声引导微通道经皮肾镜术治疗肾盏憩室合并肾钙乳的可行性与临床疗效。方法回顾性分析2009年1月至2014年3月使用微通道经皮肾镜术治疗的12例肾盏憩室合并肾钙乳患者资料。结果 12例患者均采用单通道一期完成操作,平均手术时间为81.30min,平均住院时间为11.00d,术中平均出血量为90.25mL。无严重并发症。术后复查腹部平片无钙乳残留。术后随访1个月至4年,患者症状消失,憩室术区未发生肾钙乳或肾结石。结论超声引导微通道经皮肾镜术治疗肾盏憩室合并肾钙乳安全、有效,可作为临床首选治疗方法。
Objective To investigate the feasibility and clinical efficacy of ultrasound-guided percutaneous nephrolithotomy for calyceal diverticulum combined with renal calcium and milk. Methods The clinical data of 12 patients with calyceal diverticulum combined with renal calcium and milk from January 2009 to March 2014 were retrospectively analyzed. Results All the 12 patients were treated with single-channel one-stage operation. The average operation time was 81.30min, the average length of hospital stay was 11.00d, and the mean intraoperative blood loss was 90.25mL. No serious complications. Postoperative abdominal plain film without calcium milk residue. Follow-up 1 month to 4 years after surgery, the symptoms disappeared, renal calculi or kidney stones did not occur in diverticular surgery. Conclusion Ultrasound-guided percutaneous nephrolithotomy treatment of calyceal diverticulum with renal calcium and milk safety, effective, as the clinical treatment of choice.