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目的:探讨输尿管镜气压弹道碎石在开放性肾盂切开取石术治疗复杂性肾结石中的临床价值。方法:2009年11月~2013年8月采用输尿管镜辅助开放性肾盂切开取石术治疗复杂性肾结石16例。结果:16例患者均顺利完成手术,无严重并发症。一次性取净率87.5%(14/16)、2例残余结石经ESWL治疗后排净。结论:输尿管镜气压弹道碎石辅助开放性肾盂切开取石术治疗复杂性肾结石具有损伤小、出血少、并发症少,最大程度地保护肾功能,结石取净率高等优点,值得在基层医院推广应用。
Objective: To investigate the clinical value of ureteroscopic pneumatic lithotripsy in the treatment of complicated renal calculi with open pyelolithotomy. Methods: From November 2009 to August 2013, ureteroscopy assisted open pyelolithotomy in the treatment of complex renal calculi in 16 cases. Results: All the 16 patients completed the operation without serious complications. One-time take-up rate was 87.5% (14/16), and 2 cases of residual stones were drained after ESWL treatment. Conclusion: Ureteroscopic pneumatic lithotripsy assisted open pyelolithotomy for the treatment of complex renal stones with less damage, less bleeding, fewer complications, to maximize the protection of renal function, high rate of stone removal, it is worth in the primary hospital Promote the application.