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目的探讨经皮肾穿刺造瘘肾镜下取石术治疗肾结石的可行性与效果。方法回顾性分析在2008年2月—2011年2月期间接受经皮肾穿刺造瘘肾镜下碎石、取石术治疗的120例肾结石患者的疗效及并发症。结果本组结石一期清除率为90%(4/5),4例需要二期取石。所有患者均为单通道取石。平均手术时间80min,术中平均出血量200mL,平均住院天数10d,无需要输血患者,无大的并发症。结论经皮肾穿刺造瘘肾镜下碎石、取石术是治疗肾结石安全有效的方法。
Objective To investigate the feasibility and effect of percutaneous nephrostomy and nephrolithotomy in the treatment of renal calculi. Methods Retrospective analysis of the efficacy and complications of 120 cases of kidney stones treated with percutaneous nephrostomy and renal lithotripsy during the period from February 2008 to February 2011 were retrospectively analyzed. Results The first stage of this group of stone clearance rate was 90% (4/5), 4 cases required two stone. All patients were single-channel stone. The average operation time was 80min. The average blood loss during operation was 200mL. The average length of stay was 10d. There was no need for transfusion and no major complication. Conclusion Percutaneous nephrolithotomy is a safe and effective method for the treatment of renal calculi.