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目的:探讨超声引导经皮肾镜气压弹道联合超声碎石术治疗输尿管上段结石的可行性和安全性。方法:回顾性分析我院自2007年1月～2011年11月采用超声引导下经皮肾镜联合超声碎石清石系统治疗59例输尿管上段结石患者的临床资料,并对治疗效果及并发症进行总结。结果:59例患者中,57例一期单通道取石;2例合并严重感染患者一期行经皮肾穿刺造瘘,二期从原通道取石;清石率100%,无气胸、腹腔脏器损伤、出血等并发症。结论:超声引导下经皮肾镜气压弹道联合超声碎石术治疗输尿管上段结石具有创伤小、治愈率高、操作安全、疗效可靠的优点。
Objective: To investigate the feasibility and safety of ultrasound guided percutaneous nephrolithotomy combined with ultrasonic lithotripsy in the treatment of upper ureteral calculi. Methods: The clinical data of 59 patients with upper ureteral calculi treated with ultrasound-guided percutaneous nephrolithotomy combined with ultrasonic lithotripsy in our hospital from January 2007 to November 2011 were analyzed retrospectively. The curative effect and complication Giving a summary. Results: Among the 59 patients, 57 patients underwent primary single-channel stone extraction. Two patients with severe infection underwent primary percutaneous nephrolithotomy and secondary stone removal from the primary channel. The rate of clear stone was 100%, without pneumothorax and abdominal viscera Hemorrhage and other complications. Conclusion: Ultrasound-guided percutaneous nephroscope pneumatic lithotripsy combined with ultrasonic lithotripsy for upper ureteral calculi has the advantages of less trauma, higher cure rate, safe operation and reliable curative effect.