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目的:探讨侧卧斜仰截石位单一体位使用输尿管镜、肾镜和腹腔镜治疗复杂性上尿路结石的有效性和安全性。方法:2010年7月～2011年7月对36例肾结石合并肾旋转不良、肾囊肿、同侧或对侧输尿管结石患者取侧卧斜仰截石位行多镜联合治疗。结果:36例均顺利完成手术,术后均未出现出血和感染等并发症。经KUB复查,一期手术肾结石清除率77.8%,输尿管结石清除率100%。术后住院4～9d(平均6d)。结论:侧卧斜仰截石位使用输尿管镜、肾镜和腹腔镜能更有效地处理各种复杂性上尿路结石。
Objective: To investigate the effectiveness and safety of ureteral calculi, nephrolithotomy and laparoscopy in the treatment of complex upper urinary tract stones with a single lateral oblique lithotomy position. Methods: From July 2010 to July 2011, 36 cases of renal calculi with renal dysplasia, renal cysts, ipsilateral or contralateral ureteral calculi were treated with multilevel lateral oblique lithotomy. Results: Thirty-six cases were successfully completed the operation, no postoperative complications such as bleeding and infection. KUB review, a surgical nephrolithotomy clearance rate of 77.8%, ureteral stone clearance rate of 100%. Postoperative hospital 4 ~ 9d (average 6d). Conclusions: Ureteroscopy, nephrolithotomy and laparoscopy can be used to treat all kinds of complicated upper urinary tract stones more effectively.