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目的探讨经皮肾镜超声碎石取石术治疗输尿管上段结石的方法及效果。方法回顾性分析2010年1月至2011年6月期间应用经皮肾超声碎石取石术治疗56例输尿管上段结石患者的临床资料。结果 56例患者均一次穿刺成功,建立经皮肾镜微创通道,手术时间70～160min,其中一期手术取净结石50例,其余6例口服排石药物,3周后排出治愈。术后2～5d复查腹部平片,净石率为89.3%(50/56)。无大出血及输尿管穿孔、狭窄等严重并发症。结论经皮肾镜超声碎石取石术治疗输尿管上段结石临床疗效好,结石清除率高,安全、有效、创伤小,恢复快,值得临床推广和应用。
Objective To investigate the method and effect of percutaneous nephrolithotomy lithotripsy in the treatment of upper ureteral calculi. Methods The clinical data of 56 patients with upper ureteral calculi treated with percutaneous nephrolithotomy lithotripsy from January 2010 to June 2011 were retrospectively analyzed. Results All the 56 patients were successfully punctured. The minimally invasive percutaneous nephrolithotomy was established. The operation time ranged from 70 to 160 minutes. Fifty cases of net stones were obtained from the first operation. The remaining six cases were treated with oral stone-drain drugs and were discharged after 3 weeks. 2 ~ 5d postoperative examination of abdominal plain film, the net stone rate was 89.3% (50/56). No major bleeding and ureteral perforation, stenosis and other serious complications. Conclusion Percutaneous nephrolithotomy lithotripsy for the treatment of upper ureteral calculi clinical efficacy, high rate of stone clearance, safe, effective, small trauma, rapid recovery, it is worthy of clinical promotion and application.