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目的:探讨局麻B超引导下经皮肾镜取石术治疗上尿路结石的疗效与安全性。方法:以我院2012年3月-2013年3月间300例上尿路结石患者应用局麻B超引导经皮肾镜取石治疗的手术时间、术中出血量、结石清除率、平均术后住院时间及手术并发症。结果:手术时间为(75±25)min,术中平均估计失血量(150±27)ml,结石清除率(88.5%),平均术后住院时间(12±3.5)天,手术并发症发生率2.3%。结论:局麻B超引导下经皮肾镜取石术治疗上尿路结石安全效果好,值得临床进一步推广。
Objective: To investigate the efficacy and safety of percutaneous nephrolithotomy guided by local anesthesia with B-ultrasonography in the treatment of upper urinary tract calculi. Methods: From March 2012 to March 2013 in our hospital, 300 cases of upper urinary tract calculi were treated by local anesthesia with percutaneous nephrolithotomy guided by local anesthesia. The operation time, intraoperative blood loss, stone clearance rate, mean postoperative Hospitalization and surgical complications. Results: The operative time was (75 ± 25) min. The mean intraoperative blood loss (150 ± 27) ml, stone clearance (88.5%), average postoperative hospital stay (12 ± 3.5) days, 2.3%. Conclusion: Local anesthesia under the guidance of percutaneous nephrolithotomy lithotripsy for upper urinary tract stones safety effect, it is worth further clinical promotion.