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目的探讨B超引导下微创经皮肾镜气压弹道碎石术(MPCNL)治疗上尿路结石的疗效。方法采用B超引导下微创经皮肾镜气压弹道碎石术治疗上尿路结石102例。结果术后检查83例结石完全消失,19例有残留结石,平均手术时间134min,一次净石率为81.4%。术中致肾盂或输尿管穿孔2例,术中肾镜摆动过大,引起肾盏颈部撕裂出血1例,输血4U,术后菌血症1例。结论 B超引导下微创经皮肾镜气压弹道碎石术治疗上尿路结石具有创伤小、恢复快、患者易接受、治疗好,并发症少等优点,但术中术后要注意并发症的预防。
Objective To investigate the curative effect of B-guided minimally invasive percutaneous nephrolithotomy (MPCNL) on upper urinary tract calculi. Methods B - guided minimally invasive percutaneous nephroscopic pneumatic lithotripsy for upper urinary tract calculi in 102 cases. Results 83 cases of postoperative stones completely disappeared, 19 cases of residual stones, the average operation time 134min, a net stone rate was 81.4%. Intraoperative renal pelvis or ureter perforation in 2 cases, intraoperative nephrolithiasis is too large, causing neck rupture of calyceal bleeding in 1 case, 4U transfusion, postoperative bacteremia in 1 case. Conclusion B-guided minimally invasive percutaneous nephrosgraphy pneumatic lithotripsy for the treatment of upper urinary tract stones with trauma, rapid recovery, patients with easy to accept, good treatment, fewer complications, but postoperative complications should pay attention to Prevention.