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目的:探讨球囊扩张法建立经皮肾手术通道临床应用价值。方法:2011年1月~2013年12月,采用球囊扩张法建立经皮肾手术通道行经皮肾镜手术296例,对通道建立时间、Ⅰ期结石清除率、输血率、手术并发症、住院时间进行回顾性分析。结果:通道建立时间1.5~4.5 min,平均2.1min;Ⅰ期结石清除率为87.5%;输血率为1.7%;超选择性肾动脉栓塞率为1%,无肾切除、结肠损伤等并发症发生;住院时间为7~14d,平均9.2d。结论:球囊扩张法建立经皮肾手术通道在经皮肾镜手术中安全有效,值得临床推广。
Objective: To investigate the clinical value of balloon dilation in establishing percutaneous nephrostomy. METHODS: From January 2011 to December 2013, 296 cases of percutaneous nephrostomy were established by balloon dilatation. Percutaneous nephrolithotomy was performed in 296 cases. The time of establishing the tunnel, the rate of stone removal, the rate of blood transfusion, complications of surgery, hospitalization Time for retrospective analysis. Results: The channel establishment time was 1.5-4.5 min (average 2.1 min). The rate of stage Ⅰ stone clearance was 87.5%, the transfusion rate was 1.7%, and the rate of superselective renal artery embolization was 1%. No complications such as nephrectomy and colon injury occurred ; Hospital stay for 7 ~ 14d, an average of 9.2d. Conclusion: Balloon dilatation to establish percutaneous nephrostomy in percutaneous nephrolithotomy is safe and effective, worthy of clinical promotion.