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目的:评价输尿管软镜联合硬镜治疗女性肾盂结石患者的安全性、有效性及优越性。方法:2012年6月~2013年4月采用输尿管软镜联合硬镜治疗女性肾盂结石(结石直径>2cm而≤3cm)患者30例。结果:27例一期碎石成功,一次性碎石率为90%;3例二期碎石成功。无输尿管穿孔、脓肾等严重并发症发生。手术时间51~76min,平均58min。术后住院时间2~5d,平均3.8d。留置双J管2~3周后拔除。结论:输尿管软镜联合硬镜治疗女性肾盂结石(结石直径>2cm而≤3cm)是安全、高效的,同时具有创伤小、并发症少的优点,值得在临床上进一步推广使用。
Objective: To evaluate the safety, efficacy and superiority of ureteroscopic combined with hardcopy in the treatment of female pelvic stones. Methods: From June 2012 to April 2013, 30 patients with pyelolitholithiasis (diameter> 2cm and ≤3cm) were treated with ureteroscope and hardcopy. Results: 27 cases of primary gravel success, one-time gravel rate of 90%; 3 cases of two gravel success. No ureter perforation, pus and other serious complications occurred. Surgery time 51 ~ 76min, an average of 58min. Postoperative hospital stay 2 ~ 5d, an average of 3.8d. Double J tube indwelling 2 to 3 weeks after removal. Conclusions: Ureteroscope combined with hardcopy for the treatment of female pelvis (stone diameter> 2cm but ≤3cm) is safe and effective. It also has the advantages of less trauma and less complications. It is worth to be further popularized in clinic.