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目的探讨侧卧位经皮肾镜碎石术在治疗肾结石和输尿管上段结石中的临床意义。方法应用侧卧位经皮肾镜碎石术治疗肾结石及输尿管上段结石68例。结果均准确建立理想的穿刺、工作通道,结石临床清除率92%,68例患者均未出现严重并发症。结论侧卧位经皮肾镜碎石术治疗肾结石及输尿管上段结石,既可达到和传统俯卧位经皮肾镜碎石基本相同的穿刺成功率和取石率,又在一定程度上减少了术中患者的不适感,增加了患者对手术的耐受能力,临床效果理想,值得推广。
Objective To investigate the clinical significance of percutaneous nephrolithotomy in treatment of renal calculi and upper ureteral calculi. Methods The application of lateral percutaneous nephrolithotomy lithotripsy in the treatment of proximal calculi and ureteral calculi in 68 cases. The results were accurate to establish the ideal puncture, working channel, the clinical clearance rate of stones 92%, 68 patients did not have serious complications. Conclusion The percutaneous nephrolithotomy in the treatment of renal calculi and upper ureteral calculi can achieve the same puncture success rate and stone extraction rate as the traditional prone percutaneous nephrolithotomy, but also reduce the operation rate to a certain extent In patients with discomfort, increased patient tolerance to surgery, the clinical effect is ideal, it is worth promoting.