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目的:探讨经皮肾镜下应用瑞士EMS第四代碎石清石系统治疗治疗复杂性肾结石的临床效果和操作体会。方法:总结分析我院应用经皮肾镜取石术(PCNL),结合瑞士EMS第四代碎石清石系统治疗治疗复杂性肾结石52例的临床资料。结果:47例均成功行一期取石术,2例需二期PCNL清石,3例需ESWL。手术时间74±26分钟,失血量0.61±0.59g/L,残石率14.4%±9.3%。3例术后大出血,术中未见严重并发症。结论:瑞士EMS第四代碎石清石系统整合气压弹道碎石与超声碎石技术,处理复杂肾结石安全高效。
Objective: To investigate the clinical effect and operational experience of percutaneous nephrolithotomy using Swiss EMS fourth gravel lithotripsy in the treatment of complex renal calculi. Methods: The clinical data of 52 cases of complex renal calculus treated with percutaneous nephrolithotomy (PCNL) in our hospital combined with the fourth gravel lithotripsy system of Swiss EMS were summarized. Results: All of the 47 cases were successfully performed one stage of lithotripsy, 2 cases required PCNL clear stones, and 3 required ESWL. The operation time was 74 ± 26 minutes, the blood loss was 0.61 ± 0.59g / L, the residual stone rate was 14.4% ± 9.3%. 3 cases of postoperative bleeding, no serious complications during surgery. Conclusion: The Swiss EMS fourth generation lithotripsy system integrates pneumatic lithotripsy and ultrasonic lithotripsy to treat complicated kidney stones safely and efficiently.