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目的:探讨经尿道输尿管镜(URL)联合经皮肾镜(PCNL)钬激光碎石术治疗复杂型上尿路结石的经验。方法:对71例复杂型上尿路结石患者采用输尿管镜联合经皮肾镜钬激光碎石术进行治疗。结果:一次性取石成功62例,成功率为87.3%,大出血1例,无皮肾窦道漏尿、输尿管穿孔、撕脱、狭窄等并发症。结论:对复杂型上尿路结石采用输尿管镜联合经皮肾镜钬激光碎石术治疗,可同时处理输尿管和肾内结石,缩短了手术及住院时间,降低输尿管损伤的风险,是一种安全、有效的手术方法。
Objective: To investigate the experience of transurethral ureteroscopic (URL) combined with percutaneous nephrolithotomy (PCNL) holmium laser lithotripsy in the treatment of complex upper urinary tract calculi. Methods: 71 patients with complicated upper urinary tract stones were treated by ureteroscope combined with percutaneous nephrolithotomy holmium laser lithotripsy. Results: One-time stone was successfully performed in 62 cases, with a success rate of 87.3%, one case of major bleeding, no leakage of ureter of renal sinuses, ureteral perforation, avulsion and stenosis. Conclusion: The ureteral calculi combined with percutaneous nephrolithotomy with holmium laser lithotripsy can treat complicated upper urinary tract stones, which can simultaneously treat the ureter and renal calculi, shorten the operation and hospitalization time and reduce the risk of ureteral injury. It is a safe Effective surgical methods.