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目的:探究肾结石治疗采用皮肾镜下气压弹道联合超声碎石清石系统(EMS)的有效性和安全性。方法:对78例肾结石患者进行引导下穿刺,腹部测量平片最长径范围2.0~6.5cm,采用EMS进行皮肾镜碎石通道的建立,分析手术时间和结石清除率等资料。结果:对78例患者建立经皮肾通道进行手术之后,结石取出率为97.5%,平均手术时间为75min,平均术后住院时间为3~12d,随访时间在2~8个月,术后没有出现感染出血和肾周积液。结论:经皮肾镜EMS治疗肾结石可提高碎石清除率,缩短手术时间,减少病人痛苦及手术并发症,具有高效、微创安全等特点。具有很高价值于临床运用。
Objective: To explore the effectiveness and safety of renal lithotripsy with pneumatic lithotripsy and ultrasonography lithotripsy (EMS). Methods: Seventy-eight cases of renal calculi were punctured under guidance. The longest diameter of the plate was 2.0-6.5 cm in the abdomen. EMS was used to establish the dermatoresitic gravel channel. The operation time and stone clearance rate were analyzed. Results: 78 cases of percutaneous renal access to surgery, the stone removal rate was 97.5%, the average operation time was 75min, the average postoperative hospital stay was 3 ~ 12d, followed up for 2 to 8 months, no postoperative Infection bleeding and perirenal effusion. Conclusion: Percutaneous nephrolithotomy with EMS can improve the clearance rate of lithotripsy, shorten the operation time and reduce the pain and complications of patients. It has the characteristics of high efficiency and minimally invasive safety. Has high value in clinical application.