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目的探讨超声引导穿刺建立皮肤肾脏通道,在微创经皮肾镜碎石取石术治疗肾结石及输尿管上段结石应用价值。方法应用超声引导定位下经皮肾穿刺,对128例肾结石或输尿管上段结石建立皮肾通道,行超声弹道碎石取石术。结果 128例患者均按预定设计成功建立了皮肾通道,操作中无严重并发症发生。结论超声引导经皮肾穿刺肾镜治疗肾或输尿管上段结石建立皮肾通道,具有定位准确、简便易行、安全、可重复等优点,具有较大的临床应用价值。
Objective To investigate the value of ultrasound guided puncture in the establishment of dermal renal access and minimally invasive percutaneous nephrolithotomy for the treatment of renal calculi and upper ureteral calculi. Methods Percutaneous nephrolithotomy guided by ultrasound was used to establish the renal access to 128 renal calculi or upper ureteral calculi and ultrasound lithotripsy. Results 128 cases of patients were designed according to the scheduled success of establishing a renal access, no serious complications during the operation. Conclusion Ultrasound-guided percutaneous nephrolithotomy treatment of renal or upper ureteral calculi to establish the renal access, with accurate positioning, easy, safe, repeatable, etc., with great clinical value.