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目的探讨经皮肾镜下2μm激光治疗肾铸型结石的有效性、安全性及相关技巧。方法采用经皮肾镜下2μm激光治疗肾铸型结石患者55例,其中双侧肾铸型结石8例。结果 55例患者中,一次碎石成功率为74.5%,手术平均时间70min;术后恢复快、并发症少;随访3个月,无残余碎石,肾积水均有不同程度减轻或消失。结论经皮肾镜下2μm激光治疗肾铸型结石是安全、有效的微创治疗方法,具有避免开放手术、手术时间短、恢复快、创伤小等优点。
Objective To investigate the efficacy, safety and related skills of percutaneous nephrolithotomy with 2μm laser in the treatment of renal calculi. Methods Percutaneous nephrolithotomy with 2μm laser treatment of 55 cases of renal calculi, including bilateral renal calculi in 8 cases. Results Among the 55 patients, the success rate of first gravel was 74.5% and the average time of operation was 70min. The recovery was quick and the complication was less. After 3 months of follow-up, no residual gravel or hydronephrosis were relieved or disappeared to some extent. Conclusion Percutaneous nephrolithotomy 2μm laser treatment of renal cast stone is safe and effective minimally invasive treatment, with the advantages of avoiding open surgery, short operative time, fast recovery, small trauma and so on.