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复杂性肾鹿角状或铸状结石手术治疗较困难。我院2003年11月-2004年4月采用经皮肾镜加钬激光碎石取石术,疗效满意,现报告如下。1资料与方法1.1临床资料本组8例,男5例,女3例;年龄27～64岁,平均年龄38岁;病程1-6年;结石直径3.6～5.5cm,经B超、大剂量静脉肾造影逆行上尿路造影检查证实为肾内型肾盂。左侧6例,右侧2例,并发对侧上尿路结石1例。单发鹿角状或铸状结石4例。有1例除有一约4.7cm×3.6cm铸状结石外,肾下盏有绿豆大小结石数10例。中度心目肾积
Complex deer horn or cast stone surgery more difficult. Our hospital from November 2003 to April 2004 using percutaneous nephrolithotomy plus holmium laser lithotomy, the effect is satisfactory, are as follows. 1 Materials and Methods 1.1 Clinical data The group of 8 patients, 5 males and 3 females; aged 27 to 64 years, mean age 38 years; duration of 1-6 years; stones diameter 3.6 ~ 5.5cm, B ultrasound, high-dose Retrograde angiography on the urinary tract contrast-enhanced urography confirmed renal pelvis. 6 cases on the left, 2 cases on the right, and 1 case complicated with contralateral upper urinary tract stones. Single antlers or cast stones in 4 cases. In addition to having a case of about 4.7cm × 3.6cm cast stone, the number of kidney beans have the number of mung bean 10 cases. Moderate focus kidney plot