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目的:说明B超引导下行微创经皮肾镜取石术的普及性及优越性。方法:自2007-07/2008-11应用钬激光和气压弹道超声设备碎石术治疗52例肾结石患者,对其临床资料进行总结。结果:所有患者均1期建立皮肾通道,Ⅰ期一次性清除结石47例,清石率79%,行二次碎石取石或体外冲击波碎石,复查57侧肾脏结石完全清除,清石率97%。结论:B超引导微创经皮肾镜取石术具有损伤轻、并发症少、结石一次清除率高、痛苦小、恢复快的优点,值得推广应用。
Objective: To illustrate the popularity and superiority of B-guided minimally invasive percutaneous nephrolithotomy. Methods: Fifty - two patients with kidney stones were treated with holmium laser and pneumatic lithotripsy device from July 2007 to November 2008, and their clinical data were summarized. Results: All the patients had stage 1 nephrostomy, 47 cases of stage Ⅰ stone removal and 79% of stone clearance, secondary lithotripsy or extracorporeal shock wave lithotripsy, 57 cases of kidney stones were completely recovered, 97%. Conclusion: B-guided minimally invasive percutaneous nephrolithotomy has the advantages of less injury, fewer complications, high rate of stone clearance, less pain and faster recovery, which is worthy of promotion and application.