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目的:观察经皮肾穿刺造瘘取石术(PCNL)治疗肾结石术后复发性复杂结石的效果。方法:对肾结石术后复发性复杂结石53例,其中合并输尿管狭窄7例,肾盂输尿管连接部狭窄2例,盏颈狭窄4例,采用PCNL取石术。结果:49例行2次或以上取石术。单通道取石44例,双通道取石9例。结石清除率90.57%。无大出血等严重并发症。结论:PCNL是一种治疗肾结石术后复发性复杂结石的有效方法。
Objective: To observe the effect of percutaneous nephrostomy and lithotomy (PCNL) in the treatment of recurrent complex calculus after nephrolithotomy. Methods: Fifty-three patients with recurrent complex calculus after nephrolithiasis, including 7 cases with ureteral stricture, 2 cases with ureteropelvic junction stenosis and 4 cases with stenotic neck, were treated with PCNL lithotripsy. Results: 49 cases of 2 or more lithotomy. 44 cases of single-channel stone, double-channel stone in 9 cases. Stone clearance rate of 90.57%. No major bleeding and other serious complications. Conclusion: PCNL is an effective method for the treatment of recurrent complex calculus after nephrolithiasis.