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目的:本文探讨气压弹道碎石联合肾盂切开取石治疗复杂性肾结石的疗效。方法:对14例复杂性肾结石患者采用肾盂切开联合瑞士EMS气压弹道碎石机气压弹道碎石治疗复杂性肾结石。结果:手术时间100~180分钟。术后残余小结石8例,经ESWL、体位排石、药物排石,6例排出,无继发性出血及尿漏发生。术后随访3~6个月,14例复查尿路平片+静脉尿路造影、泌尿系彩超,原有6例轻度肾积水患者肾积水消失,7例中度肾积水患者中有5例明显消退,1例血肌酐异常者较术前明显改善。结论:气压弹道碎石联合肾盂切开取石具有操作简便、结石取尽率高、肾功能损伤小、术中出血少等优点。
Objective: This article discusses the effect of pneumatic lithotripsy combined with pyelolithotomy on complex renal calculus. Methods: A total of 14 patients with complex renal calculus were treated with pyeloplasty combined with pneumatic lithotripsy by Swiss EMS pneumatic lithotripsy to treat complex renal calculi. Results: The operation time was 100-180 minutes. Postoperative residual small stones in 8 cases, by ESWL, body row of stone, drug row of stones, 6 cases of discharge, no secondary bleeding and urine leakage occurred. The patients were followed up for 3 to 6 months. 14 cases of recurrent urethral plain film + intravenous urography, urography, the original 6 cases of mild hydronephrosis hydronephrosis disappeared, 7 cases of moderate hydronephrosis 5 cases subsided obviously, 1 case of abnormal serum creatinine was significantly improved compared with that before operation. Conclusion: Pneumatic lithotripsy combined with pyelolithotomy has the advantages of simple operation, high exhaustion of stones, less damage of renal function and less intraoperative bleeding.