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目的探讨经皮肾镜下EMS第四代气压弹道联合超声碎石清石系统治疗复杂性肾结石的疗效。方法回顾性分析80例经皮肾镜下EMS第四代气压弹道联合超声碎石清石系统治疗复杂性肾结石患者的临床资料,其中铸型结石33例,多发肾结石30例,感染性结石17例,结石长径为1.8~6.0cm。结果手术均成功,平均手术时间120min,术中平均失血50ml,平均住院时间9d,术后复查碎石效果满意。结论经皮肾镜下EMS第四代气压弹道联合超声碎石清石系统治疗复杂性肾结石出血少、碎石清石效率高、并发症发生率低,是一种安全有效的治疗方法。
Objective To investigate the effect of percutaneous nephroscope EMS fourth generation pneumatic ballistic combined with ultrasonic lithotripsy on the treatment of complex renal calculus. Methods A retrospective analysis of 80 cases of percutaneous nephroscope EMS fourth generation pneumatic lithotripsy combined ultrasound lithotripsy patients with complex renal stone clinical data, including 33 cases of stone mold, multiple renal stones in 30 cases, infective stones 17 cases, the stone diameter 1.8 ~ 6.0cm. Results The operation was successful. The average operation time was 120 minutes. The mean intraoperative blood loss was 50 ml and the average length of hospital stay was 9 days. The results of postoperative gravel examination were satisfactory. Conclusion Percutaneous nephroscope EMS fourth generation pneumatic lithotripsy combined with ultrasound lithotripsy is a safe and effective treatment for complex renal calculi with less bleeding, high efficiency of lithotripsy and low complication rate.