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目的探讨标准肾镜下B型超声引导气压弹道联合超声碎石术治疗复杂上尿路结石的方法及疗效。方法回顾性分析标准肾镜下B型超声引导气压弹道联合超声碎石术治疗复杂上尿路结石5610例患者的临床资料。结果所有患者均成功建立F24经皮肾镜通道,平均手术时间62min,术中失血量50~400ml,结石一期取净率91.2(5112/5610),术中、术后均未发生严重并发症。结论标准肾镜下B型超声引导气压弹道联合超声碎石术治疗复杂上尿路结石安全、有效、在治疗复杂上尿路结石方面有良好的应用价值。
Objective To investigate the method and efficacy of B-mode ultrasound-guided pneumatic ballistic guided ultrasonography combined with ultrasonic lithotripsy in the treatment of complex upper urinary tract calculi. Methods The clinical data of 5610 patients with complicated upper urinary tract calculi under standard renal B-mode guided pneumatic ballistics combined with ultrasonic lithotripsy were retrospectively analyzed. Results All patients were successfully established F24 percutaneous nephrostomy, the average operation time was 62min, intraoperative blood loss of 50 ~ 400ml, the first phase of stones taken rate was 91.2 (5112/5610), intraoperative and postoperative no serious complications . Conclusions Standard B-mode ultrasound-guided pneumatic ballistic guided ultrasonography combined with ultrasonic lithotripsy for the treatment of complex upper urinary tract stones is safe and effective and has a good application value in the treatment of complex upper urinary tract stones.