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目的 探讨经皮肾穿刺碎石术治疗肾、输尿管上段结石的手术适应症、治疗方法、临床疗效。方法 采用X线或B超定位下行肾微穿刺后用输尿管镜和气压腔内碎石机进行Ⅰ期碎石取石术。结果 3 0例患者 ,其中 2 8例 1次取净结石 ,2例行 2次手术取净结石。结石 1次取净率 93 % ,结石总取净率为 10 0 %。结论 经皮肾穿刺碎石术治疗肾、输尿管上段结石具有取石成功率高、创伤小、恢复快、住院时间短等优点。
Objective To investigate the surgical indications, treatment methods and clinical effects of percutaneous nephrolithotomy lithotripsy in the treatment of upper ureteral calculi. Methods X-ray or B-ultrasound-guided descend renal lithotomy with ureteroscopy and pneumatic lithotripsy lithotripsy Ⅰ stage lithotripsy. Results 30 cases of patients, including 28 cases of net stones taken 1, 2 cases 2 times to take net stones. The first stone take rate of 93%, the total recovery rate of stone was 100%. Conclusion Percutaneous nephrolithotomy lithotripsy has the advantages of high success rate of stones, less trauma, faster recovery and shorter hospital stay in the treatment of renal and upper ureteral calculi.