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目的:总结输尿管镜联合经皮肾镜治疗滞留双J管哑铃状附壁结石的手术策略和技巧,评价临床疗效。方法:回顾性分析我院2001年2月～2010年7月应用输尿管镜联合经皮肾镜钬激光治疗长期留置双J管后形成哑铃状附壁结石并拔除双J管6例患者的疗效。结果:6例手术均获成功,所有滞留的双J管和合并结石均获得成功处理,术后出现中度血尿3例,高热4例,结石残留1例。结论:联合采用输尿管镜和经皮肾镜结合钬激光碎石处理滞留双J管哑铃状全程附壁结石安全、有效,术后预防尿路感染是重点。
OBJECTIVE: To summarize the surgical strategies and techniques of ureteroscopy combined with percutaneous nephrolithotomy in treating double dumbbell-shaped appendage stones with double J-tube to evaluate the clinical efficacy. Methods: A retrospective analysis of our hospital from February 2001 to July 2010 ureteroscopy combined percutaneous nephroscope holmium laser indwelling double J tube after the formation of dumbbell-shaped appendicitis and removal of double J tube in 6 patients. Results: All the 6 surgeries were successful. All the double J tubes and stones were successfully treated. There were 3 cases of moderate hematuria, 4 cases of hyperthermia and 1 case of residual stones. Conclusions: The combined use of ureteroscope and percutaneous nephrolithotomy combined with holmium laser lithotripsy is safe, effective and effective in preventing postoperative urinary tract infection.