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目的观察肾盂切开输尿管镜下气压弹道碎石治疗鹿角形肾结石的疗效及安全性。方法对56例鹿角形肾结石患者采取肾盂切开输尿管镜下气压弹道碎石治疗,对其治疗方法、临床疗效及优点进行评价。结果 56例鹿角形肾结石均较顺利碎石和取石,手术时间75～165 min,无大出血及无肾盂和肾盏黏膜撕裂;术后平均随访24个月,仅1例结石复发;11例肾功能不全者恢复正常9例,2例显著改善。结论肾盂切开输尿管镜下气压弹道碎石治疗鹿角形肾结石,操作方法简单,手术安全,取石干净,能最大限度使肾脏损伤达到微创,值得基层医院推广应用。
Objective To observe the efficacy and safety of pyelolithotomy ureteroscopic pneumatic lithotripsy in the treatment of antler kidney stones. Methods Fifty-six cases of deer horns kidney stones were treated with pneumatic lithotripsy under ureteroscopic ureteroscopy. The treatment, clinical efficacy and advantages were evaluated. Results 56 cases of deer horns kidney stones were smooth gravel and stone, the operation time 75 ~ 165 min, no bleeding and no pelvis and renal calyx mucosa tear; average follow-up after 24 months, only 1 case of stone recurrence; 11 cases Renal insufficiency returned to normal in 9 cases, 2 cases were significantly improved. Conclusions Pelvic incision ureteroscopic pneumatic lithotripsy for the treatment of antler kidney stones, simple operation, safe operation, clean stone, can maximize the minimally invasive renal injury, it is worth to promote the use of grass-roots hospitals.