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目的:探讨C臂引导下经皮肾镜取石术(PCNL)处理上尿路结石的安全性和疗效。方法:对63例接受C臂引导行PCNL的患者进行回顾分析及总结。结果:经皮肾通道成功建立62例(98.41%),均建立F16-18经皮肾通道并成功碎石,其中单通道56例,双通道5例,三通道1例;47例行Ⅰ期取石,15例行Ⅱ、Ⅲ期取石;结石取净率为88.71%;术中、术后中度明显出血2例,迟发性出血2例。结论:C臂引导下PCNL治疗上尿路结石直观、安全、有效、创伤小,特别适合开展PCNL的早期应用。
Objective: To investigate the safety and efficacy of C-arm guided percutaneous nephrolithotomy (PCNL) in the treatment of upper urinary tract calculi. Methods: Sixty-three patients undergoing C-arm guided PCNL were retrospectively analyzed and summarized. Results: Sixty-two cases (98.41%) were successfully established by percutaneous renal access. F16-18 percutaneous renal access and successful grafting were established, including 56 cases of single passage, 5 cases of double passage and 1 case of triple passage and 47 cases of stage Ⅰ Stone, 15 cases of stage Ⅱ, Ⅲ stone; stone removal rate of 88.71%; intraoperative and postoperative moderate bleeding in 2 cases, 2 cases of delayed bleeding. Conclusion: C - arm guided PCNL treatment of upper urinary tract stones is intuitive, safe, effective and less invasive and is particularly suitable for early application of PCNL.