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目的探讨彩超引导下建立皮肤肾脏通路,进行经皮肾穿刺取石术或微创经皮肾穿刺取石术的安全性和有效性。方法回顾性分析在彩超引导下行PCNL或MPCNL术的57例上尿路结石患者的临床资料。结果57例患者均一期成功建立皮肤肾脏通路,55例行一期碎石术,2例行二期碎石术,全部病例术后解除结石梗阻。所有患者术后无气胸、腹腔脏器损伤等严重并发症。术后复查,50例患者排净结石,7例有结石残余,结石清除率为87.72%(50/57),57例患者肾穿刺成功率100%(57/57),术中大出血发生率为0。结论彩超引导下经皮肾镜取石术是治疗上尿路结石安全、可靠、有效的理想方法,值得临床推广使用。
Objective To investigate the safety and efficacy of establishing guided skin renal access with color Doppler ultrasonography for percutaneous nephrolithotomy or minimally invasive percutaneous nephrolithotomy. Methods The clinical data of 57 patients with upper urinary tract calculi guided by color Doppler ultrasonography under PCNL or MPCNL were retrospectively analyzed. Results All the 57 patients were successfully established skin renal access in one phase, 55 cases were treated with one stage lithotripsy and 2 cases with stage two lithotripsy. All the cases were relieved of stone obstruction. All patients without pneumothorax, abdominal organ damage and other serious complications. Postoperatively, 50 patients had clear stones, 7 had residual stones, the stone removal rate was 87.72% (50/57), the success rate of renal puncture in 57 patients was 100% (57/57). The incidence of intraoperative bleeding was 0. Conclusion Percutaneous nephrolithotomy guided by color Doppler ultrasonography is an ideal and safe method for the treatment of upper urinary calculi. It is worthy of clinical application.