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目的:探讨微创经皮肾镜钬激光碎石术治疗嵌顿性输尿管上段结石的疗效。方法:回顾性分析应用微创经皮肾镜碎石术治疗68例嵌顿性输尿管上段结石患者的临床资料。结果:68例患者均采用单通道碎石一期完成手术,结石清除率为94%,平均手术时间(65±15)min,术中平均失血量(85±30)ml,无大出血及其他严重并发症发生。结论:微创经皮肾镜钬激光碎石术治疗嵌顿性输尿管上段结石具有结石清除率高,并发症少,并可同时处理合并的肾结石等优点,值得临床推广应用。
Objective: To investigate the curative effect of minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy in the treatment of upper ureteral calculi. Methods: The clinical data of 68 cases of incarcerated upper ureteral calculi treated with minimally invasive percutaneous nephrolithotomy were retrospectively analyzed. Results: 68 patients were treated with single-channel lithotripsy, the stone clearance rate was 94%, the average operation time (65 ± 15) min, intraoperative blood loss (85 ± 30) ml, no major bleeding and other serious Complications occur. Conclusion: The minimally invasive percutaneous nephroscope holmium laser lithotripsy for the treatment of incarcerated ureteral calculi has the advantages of high stone clearance rate, fewer complications, and concurrent treatment of combined kidney stones, which is worthy of clinical application.