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目的分析经皮肾镜超声弹道碎石清石术治疗复杂性肾结石临床疗效,总结其临床价值。方法回顾性分析具有完整临床资料的2009年11月至2011年11月复杂性肾结石患者50例,采用经皮肾镜超声弹道碎石清石术进行治疗,观察其临床疗效。结果 50例复杂性肾结石患者手术时间为40～160 min,平均手术时间为(66±4)min,术中失血量为50～500 ml,平均失血量100 ml。50例患者手术完成后经过超声复查,一期手术的取净结石率为80%。10例患者因结石出现了残留需要进行二期取石手术,其中2例患者经超声碎石后排净结石。结论经皮肾镜超声弹道碎石清石术治疗复杂性肾结石具有较好的临床疗效,出血量少、恢复快,住院时间短,一期清除率高,是治疗复杂性肾结石的有效方法之一,值得临床推广。
Objective To analyze the clinical efficacy of percutaneous nephrolithotomy lithotripsy lithotripsy in the treatment of complex renal calculi, and to summarize its clinical value. Methods The clinical data of 50 patients with complex renal calculi from November 2009 to November 2011 with complete clinical data were retrospectively analyzed. Percutaneous nephrolithotomy lithotripsy was used to treat the patients and the clinical efficacy was observed. Results The operation time of 50 patients with complicated renal calculus was 40 to 160 minutes. The average operation time was (66 ± 4) min. The blood loss during operation was 50 ~ 500 ml and the average blood loss was 100 ml. Fifty patients underwent an ultrasound scan after the operation was completed, and the rate of net stones in one operation was 80%. Ten patients had residual stones due to the need for second-stage stone surgery, of which two patients were discharged by ultrasonography lithotripsy. Conclusion Percutaneous nephrolithotomy lithotripsy lithotripsy for the treatment of complex renal calculus has good clinical efficacy, less bleeding, rapid recovery, shorter hospital stay, a high clearance rate, is an effective method of treatment of complex renal stones One, worthy of clinical promotion.