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目的分析侧卧位微创经皮肾镜碎石术在肾结石治疗中的应用价值。方法 40例肾结石患者,均行侧卧位微创经皮肾镜碎石术,分析其治疗效果。结果 40例肾结石患者手术时间55~180 min,平均手术时间(87.6±4.5)min;术后住院时间为6~16 d,平均术后住院时间(9.5±1.5)d。14例肾鹿角形结石患者中,二期手术1例;26例单发肾结石患者,术中发现1例有肾积脓,造瘘管常规留置,采取二期手术。本组40例患者中,38例一次性碎石排净,一次性碎石排净率为95.00%。结论对肾结石患者采取侧卧位微创经皮肾镜碎石术,安全有效,可促进碎石排出,具有临床应用价值。
Objective To analyze the clinical value of minimally invasive percutaneous nephrolithotomy in the treatment of renal calculus. Methods Forty patients with renal calculus underwent minimally invasive percutaneous nephrolithotomy in the supine position, and their therapeutic effects were analyzed. Results The operation time of 40 patients with renal stones was 55 ~ 180 min, the average operation time was 87.6 ± 4.5 min. The postoperative hospital stay was 6 ~ 16 days and the average postoperative hospital stay was 9.5 ± 1.5 days. Among the 14 cases of renal deer horns stone, one case was performed in the second stage. Among the 26 cases with single renal calculus, one was found to have empyema and the fistula was routinely placed in the operation. The second stage operation was performed. In this group of 40 patients, 38 cases of disposable stone discharge, disposable stone clearance rate of 95.00%. Conclusion The minimally invasive percutaneous nephrolithotomy lithotripsy in patients with kidney stones is safe and effective, which can promote the excretion of gravel and has clinical value.