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目的:探讨B超联合X线引导下双通道微创经皮肾镜治疗复杂性肾结石的可行性与效果。方法:回顾性分析30例B超联合X线引导下双通道微创经皮肾镜治疗复杂性肾结石的疗效及并发症。结果:本组30例均在B超联合X线引导下准确建立理想的双工作通道。本组结石一期清除率为77%(22/30),结石总清除率为93.3%。平均手术时间110min,术中平均出血量100ml,平均住院天数14.5d。结论:采用B超联合X线引导下双通道微创经皮肾镜治疗复杂性肾结石是安全有效的。
Objective: To investigate the feasibility and effect of dual-channel minimally invasive percutaneous nephrolithotomy guided by B-ultrasonography combined with X-ray in the treatment of complex renal calculi. Methods: A retrospective analysis of 30 cases of B-ultrasonography combined with X-ray dual channel minimally invasive percutaneous nephrolithotomy in the treatment of complications of renal stones and complications. Results: The group of 30 patients under the guidance of B-ultrasonography X-ray exactly to establish the ideal double working channel. The first group of stones in this group clearance rate of 77% (22/30), the total removal rate of stones was 93.3%. The average operation time was 110 minutes. The average blood loss during operation was 100ml. The average length of hospital stay was 14.5 days. Conclusion: It is safe and effective to use B-mode ultrasonography combined with dual channel minimally invasive percutaneous nephrolithotomy in the treatment of complex renal calculi.