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目的探讨单微通道经皮肾镜联合输尿管软镜治疗鹿角形肾结石的有效性及安全性。方法对2014年7月—2015年11月收治的25例鹿角形肾结石患者的临床资料作回顾性分析,上述患者均采用单微通道经皮肾镜联合输尿管软镜治疗,其中完全性鹿角型肾结石6例,部分性鹿角形肾结石19例。统计手术时间及结石清石率。结果所有手术均顺利完成,无输尿管穿孔,气胸,周围脏器损伤,尿源性脓毒血症及大出血等严重并发症。4例患者采用一期经皮肾镜联合输尿管软镜治疗,21例采用二期联合输尿管软镜治疗残留结石,手术清石率为92%(23/25)。结论单微通道经皮肾镜联合输尿管软镜治疗鹿角形肾结石安全有效,值得临床推广。
Objective To investigate the effectiveness and safety of single microchannel percutaneous nephrolithotomy combined with ureteroscopy in the treatment of antler kidney stones. Methods The clinical data of 25 patients with staghorn kidney stones admitted from July 2014 to November 2015 were retrospectively analyzed. All the patients were treated with single microchannel percutaneous nephrolithotomy combined with ureteroscope, of which complete antler 6 cases of kidney stones, 19 cases of partial antler kidney stones. Statistics of operation time and stone clear stone rate. Results All operations were successfully completed without ureteral perforation, pneumothorax, peripheral organ injury, urinary sepsis and bleeding and other serious complications. Four patients underwent primary percutaneous nephrolithotomy combined with ureteroscopic soft-lensing. Twenty-one patients underwent second-stage combined ureteroscopy to treat residual stones. The rate of clear stone was 92% (23/25). Conclusion Single microchannel percutaneous nephrolithotomy combined with ureteroscopic treatment of antler kidney stones is safe and effective, worthy of clinical promotion.