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目的:探讨超声引导下经皮肾镜超声碎石治疗复杂性肾结石的方法与效果。方法:回顾性分析52例采用超声碎石清石系统治疗的复杂性肾脏结石患者临床资料。结果:本组2例在建立经皮取石通道时发生通道丢失,3例在碎石过程中出现肾盂穿孔,无发生术中术后脓毒血症患者。52例患者中有42例(80.8%)一次手术取净结石,结石残留10例,经原通道再次清石2例,辅助ESWL6例,等待观察2例。结论:采用超声碎石清石系统治疗复杂性肾结石,不仅提高了手术效率,缩短了手术时间,提高了一次手术结石取净率,而且提高了手术安全性,减少了脓毒血症等严重并发症的发生。
Objective: To explore the method and effect of ultrasound-guided percutaneous nephrolithotomy in the treatment of complex renal calculus. Methods: The clinical data of 52 patients with complex renal calculi treated with ultrasonic lithotripsy were retrospectively analyzed. Results: There were 2 cases of percutaneous access in the passage of channel loss occurred, 3 cases of peritoneal perforation occurred in the process of gravel, no postoperative patients with postoperative sepsis. Among 52 patients, 42 cases (80.8%) were treated with nephrolithotomy one time, 10 cases with residual stones, 2 cases with recanalization through the original passage, 6 cases assisted ESWL and 2 cases waiting to be observed. CONCLUSIONS: Ultrasound lithotripsy for the treatment of complex renal calculi not only improves the operative efficiency, shortens the operation time, improves the rate of surgeries, but also improves the safety of surgery and reduces the severity of sepsis Complications occur.