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目的:研究分析腔内泌尿外科微创技术治疗结石性脓肾的临床效果。方法:选取我院2015年9月至2016年9月收治的92例结石性脓肾患者。所有患者均采用微创经皮肾镜取石术和经尿道输尿管取石术展开I期或II期手术治疗。结果:其中89例患者于内镜下进行取石术,78例结石取净,11例患者残留碎石,3例患者II期进行肾切除手术;对59例进行为期半年至一年的术后随访,57例患者肾功能恢复或部分恢复,2例患者进行肾切除手术。结论:治疗结石性脓肾,采用微创技术可取得良好的效果,且依据患者实际情况展开I期或II期手术,有效减少并发症的产生,具有较高的安全性,保肾率相对较高,可在临床上推广应用。
Objective: To study the clinical effect of minimally invasive endourology on calculous pyogenic kidney. Methods: A total of 92 patients with calculous pus in our hospital from September 2015 to September 2016 were selected. All patients were treated with minimally invasive percutaneous nephrolithotomy and transurethral ureterolithotomy stage I or II. Results: Of the 89 patients who underwent endoscopic surgery, 78 had stones removed, 11 had residual stones, and 3 had stage II nephrectomy. Fifty-nine patients were followed up for six months to one year , 57 patients recovered or partially restored renal function, and 2 patients underwent nephrectomy. Conclusion: The treatment of calculous pyogenic kidney, using minimally invasive techniques can achieve good results, and based on the actual situation of patients with stage I or II surgery, effectively reduce the complications, with high safety, relatively lower rate of kidney High, can be popularized in clinical application.