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目的评价微创经皮肾镜取石术治疗上段输尿管结石的安全性及疗效。方法回顾分析2011年1月至2012年12月采用MPCNL治疗36例上段输尿管结石患者的临床资料。结果 36例均成功建立经皮肾镜微创通道,一期单通道碎石,手术时间65~170 min,32例一期结石完全清除,4例结石残留,1例自行排出,3例经体外冲击波碎石治愈。结论 MPCNL治疗输尿管上段结石具有创伤小、结石清除率高、并发症少的优点,是一种高效安全的治疗方法 ,值得临床推广。
Objective To evaluate the safety and efficacy of minimally invasive percutaneous nephrolithotomy for upper ureteral calculi. Methods The clinical data of 36 patients with upper ureteral calculi treated with MPCNL from January 2011 to December 2012 were retrospectively analyzed. Results Thirty-six patients underwent minimally invasive percutaneous nephrolithotomy and one-stage single-channel lithotripsy. The operation time was 65 to 170 minutes. 32 cases of stage I stone were completely removed, 4 cases of residual stones and 1 case of spontaneous discharge. Shock wave lithotripsy cure. Conclusion MPCNL treatment of upper ureteral calculi has the advantages of small trauma, high rate of stone clearance and less complications, which is a highly effective and safe treatment and is worthy of clinical promotion.