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目的探讨局麻B超引导下经皮肾造瘘术在结石性重度肾积脓中的作用。方法回顾性分析我院2005年8月至2010年8月局麻B超引导下经皮肾造瘘术在结石性重度肾积脓31例的临床资料。结果31例均获得较好疗效,无严重并发症发生,Ⅱ期行经皮肾输尿管镜取石术、经尿道输尿管镜取石术或患侧肾脏切除。结论局麻B超引导下经皮肾造瘘术在结石性重度肾积脓中应用,利于及时引流、解除梗阻,操作简便,疗效满意。
Objective To investigate the role of percutaneous nephrostomy guided by local anesthesia with B-ultrasound in severe calculi of pyelonephritis. Methods A retrospective analysis of clinical data of 31 cases with severe stone pyelic kidney underwent percutaneous nephrostomy guided by local anesthesia with local anesthesia in our hospital from August 2005 to August 2010 was retrospectively analyzed. Results All the 31 cases achieved good curative effect without serious complications. Percutaneous nephrolithotomy and lithotomy were performed in stage Ⅱ. Transurethral ureterolithotomy or ipsilateral nephrectomy was performed. Conclusion Under the guidance of local anesthesia B-percutaneous nephrostomy in severe calculus of pyelonephritis, which is conducive to timely drainage and relieve the obstruction, the operation is simple and the curative effect is satisfactory.