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目的:利用KUB+IVP总结分析微创经皮肾穿刺碎石治疗复杂肾结石的疗效。方法:分析尿路平片(KUB)及静脉肾盂造影(IVP)对微创经皮肾穿刺碎石治疗复杂肾结石术前后30例的X线表现,总结微创经皮肾穿刺取石术治疗复杂肾结石的疗效。结果:30例患者,1次取石成功16例;2次取石成功13例;配合体外震波碎石2例;共26例结石取尽。4例显示肾结石少量残留,16例轻中度肾积水消失,14例中重度肾积水有不同程度改善。结论:KUB+IVP对微创经皮肾穿刺碎石治疗有指导性意义。
Objective: To summarize and analyze the curative effect of minimally invasive percutaneous nephrolithotomy on complex nephrolithiasis by KUB + IVP. Methods: The X-ray findings of 30 patients with minimally invasive percutaneous nephrolithotomy treated with KUB and IVP before and after complex nephrolithotomy were analyzed. The minimally invasive percutaneous nephrolithotomy was performed The efficacy of complex kidney stones. Results: Thirty patients were successful in 16 cases of stone removal, 13 cases of stone removal in 2 cases, 2 cases of extracorporeal shock wave lithotripsy, and 26 cases of stones were completely removed. 4 cases showed a small amount of residual renal stones, 16 cases of mild to moderate hydronephrosis disappeared, 14 cases of moderate to severe hydronephrosis improved to varying degrees. Conclusion: KUB + IVP has the guiding significance for the minimally invasive percutaneous nephrolithotomy.