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目的探讨联合超声及X线定位单通道经皮肾取石术(PCNL)治疗孤立肾肾结石的安全性及有效性。方法利用经皮肾取石术治疗孤立肾肾结石33例。结果 3例肾功能不全先行经肾穿刺造瘘术,二期行经皮肾穿刺取石术,余30例均一期行经皮肾穿刺取石术,结果结石完全清除30例(清除率90.9%),2例二次经原通道取石术,1例残余结石经体外震波碎石治疗。结论联合超声及X线定位经皮肾取石术治疗孤立肾肾结石安全、有效、创伤小。
Objective To investigate the safety and efficacy of combined ultrasound and X-ray positioning of single channel percutaneous nephrolithotomy (PCNL) in the treatment of solitary kidney stone. Methods Percutaneous nephrolithotomy was used to treat 33 cases of isolated kidney and kidney stones. Results Three cases of renal insufficiency were treated by renal puncture and fistula. The other two cases were treated by percutaneous nephrolithotomy. All the patients were treated by percutaneous nephrolithotomy in 30 cases. The stones were completely removed in 30 cases (90.9%) and 2 cases The second pass through the original channel lithotomy, 1 case of residual stones by extracorporeal shock wave lithotripsy. Conclusion Combined ultrasound and X-ray percutaneous nephrolithotomy in the treatment of solitary kidney stone is safe, effective and less invasive.