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目的探讨经皮肾镜气压弹道联合超声碎石清石术治疗肾结石的临床疗效。方法对2010年1月至2011年1月收治的40例肾结石患者进行经皮肾镜气压弹道联合超声碎石清石术治疗,回顾分析患者的术后并发症、结石清除效果以及手术时间等临床治疗资料。结果经过治疗,患者的肾结石症状得到了显著的缓解,碎石有效率为100%,一期结石清除率为80%,二期结石清除率为75%,总结石清除率为95%,无1例患者发生与碎石器有关的临床并发症,1例患者由于过深扩张导致肾穿孔。结论经皮肾镜气压弹道联合超声碎石清石术治疗肾结石具有较为理想的临床治疗效果,且安全性和可靠性更高,具有较高的临床应用价值。
Objective To investigate the clinical effect of percutaneous nephrolithotomy combined with ultrasonic lithotripsy on renal calculus. Methods Percutaneous nephrolithotomy combined with ultrasonic lithotripsy and lithotripsy was performed in 40 patients with renal stone who were treated from January 2010 to January 2011. The postoperative complications, stone removal and operation time were retrospectively analyzed Clinical treatment information. Results After treatment, the symptoms of kidney stones were significantly relieved. The effective rate of gravel was 100%, the rate of primary stone was 80%, the rate of secondary stone was 75%, the rate of total stone was 95%, and no One patient developed clinical complications associated with lithotripsy, and one patient had perforation of the kidney due to excessive expansion. Conclusion Percutaneous nephrolithotomy combined with ultrasonic lithotripsy lithotripsy is an ideal clinical treatment for renal calculi, and it has higher safety and reliability and higher clinical value.