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目的探讨腔内泌尿外科技术治疗结石性脓肾的临床疗效。方法选取72例患有结石性脓肾的患者为研究对象;根据患者的病情和身体状况分为对照组和观察组,对照组20例患者,全部采用经尿道输尿管镜取石术治疗,观察组52例患者,采用微创经皮肾镜取石术治疗。结果手术后半年时间,对这72例患者进行随访,72例患者中肾功能部分恢复或全部恢复的患者有61例,占84.72%;肾萎缩患者9例,占12.50%;肾切除患者为2例,占2.78%。结论腔内泌尿外科技术治疗结石性脓肾的效果显著,治疗方法高效安全,手术后发生感染等并发症的可能性小,是治疗结石性脓肾的不错选择。
Objective To investigate the clinical efficacy of endourological treatment of calculous pyogenic kidney. Methods Totally 72 patients with calculous pus kidney were selected as study subjects. According to their condition and physical condition, they were divided into control group and observation group. Twenty patients in control group were treated with transurethral ureteroscopic lithotripsy. Observation group 52 Cases of patients with minimally invasive percutaneous nephrolithotomy treatment. Results Six months after operation, 72 patients were followed up. Among 72 patients, 61 patients (84.72%) had partial or complete recovery of renal function, 9 patients (12.50%) had renal atrophy, and 2 Example, accounting for 2.78%. Conclusion Endovascular treatment of calculous pyogenic kidney effect is significant, efficient and safe treatment, infection and other complications after surgery is less likely to be a good choice for the treatment of stone pyogenic kidney.