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目的:探讨斜仰半截石位顺行微创经皮肾镜取石术(mPCNL)与逆行输尿管镜共同治疗输尿管多发结石的可行性、疗效与安全性。方法:分析2010年8月～2011年7月采用B超引导行mPCNL与输尿管镜结合同时治疗输尿管多发结石患者10例的临床资料。结果:10例均获得良好疗效,B超引导穿刺全部成功,mPCNL与输尿管镜同时处理输尿管多发结石,无严重并发症发生。结论:斜仰半截石位顺行微创经皮肾镜取石术与逆行输尿管镜共同治疗输尿管多发结石手术创伤小,疗效满意,值得在临床推广应用。
Objective: To investigate the feasibility, efficacy and safety of obliquely transversal semi-invasive minimally invasive percutaneous nephrolithotomy (mPCNL) and retrograde ureteroscopy in the treatment of multiple ureteral calculi. Methods: From August 2010 to July 2011, 10 cases of ureteral calculi were treated with B-guided ultrasonography combined with mPCNL and ureteroscope. Results: All the 10 cases achieved good curative effect. All the B-guided puncture was successful. Multiple ureteral stones were simultaneously treated by mPCNL and ureteroscope without serious complication. CONCLUSION: The minimally invasive percutaneous nephrolithotomy with retrograde ureteroscopy combined with retrograde ureteroscopy in the treatment of multiple ureteral calculi has less trauma and satisfactory curative effect, which is worthy of clinical application.