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目的探讨经尿道输尿管镜和经皮输尿管镜联合治疗复杂肾输尿管结石的疗效和安全性。方法对30例复杂肾输尿管结石患者采用了经尿道输尿管镜和经皮输尿管镜联合碎石的治疗方法,其中经尿道输尿管镜配合钬激光碎石,经皮输尿管镜配合气压弹道碎石。结果35例输尿管结石一次碎石成功率为94.29%(33/35),36例肾结石一次碎石成功率为83.33%(30/36)。全部患者未出现明显的大出血、假道、穿孔、尿路感染等并发症。结论联合采用经尿道输尿管镜和经皮输尿管镜治疗复杂肾输尿管结石具有损伤小、手术安全、取石方便、残石率低等优点,值得进一步推广。
Objective To investigate the efficacy and safety of transurethral ureteroscopic and percutaneous ureteroscopy in the treatment of complex renal ureteral calculi. Methods Thirty patients with complicated ureterolithiasis were treated by transurethral ureteroscopy combined with percutaneous ureteroscopy combined with lithotripsy and transurethral ureteroscopy combined with holmium laser lithotripsy and percutaneous ureteroscopy combined with pneumatic lithotripsy. Results The success rate of primary ureteral stone lithotripsy was 94.29% (33/35) in 35 cases. The success rate of primary lithotripsy of 36 cases was 83.33% (30/36). All patients did not appear significant bleeding, fake, perforation, urinary tract infection and other complications. Conclusions The combined use of transurethral ureteroscopy and transcutaneous ureteroscopy in the treatment of complex renal ureteral calculi has the advantages of less injury, safe operation, convenient stone extraction and low residual stone rate, which is worth further promotion.