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目的:评价单通道经皮肾镜联合不同软镜下钬激光碎石治疗鹿角形肾结石的手术效果。方法:B超引导穿刺,单通道经皮肾镜联合膀胱软镜和输尿管软镜,行钬激光碎石治疗鹿角形肾结石93例。结石直径2.6～5.4 cm。结果:93例均采用单通道经皮肾镜联合软镜下钬激光碎石,一期手术平均手术时间为108 min,完全清除率为83.9%(78/93),二期手术平均手术时间为43 min,结石完全清除率87.5%(7/8)。全部病例均无肾盂穿孔、气胸、腹腔内脏器官损伤等严重并发症发生。结论:单通道经皮肾镜联合不同软镜下钬激光碎石治疗鹿角形肾结石具有碎石成功率和结石排净率高、创伤小、手术时间短、并发症少、周围脏器损伤风险小等优点,是一种治疗鹿角状肾结石的理想方法。
Objective: To evaluate the effect of single-channel percutaneous nephrolithotomy combined with holmium laser lithotripsy under different soft-ware on the treatment of antler kidney stones. Methods: 93 cases of antler kidney stones were treated with B-guided ultrasonography, single-channel percutaneous nephrolithotomy and bladder soft-lens and ureteroscope. Stone diameter 2.6 ~ 5.4 cm. Results: All the 93 patients underwent single-channel percutaneous nephrolithotomy combined with holmium laser lithotripsy. The average operation time of the first stage operation was 108 min and the complete clearance rate was 83.9% (78/93). The average operation time of the second stage operation was 43 min, complete clearance rate of 87.5% (7/8). No case of renal pelvis perforation, pneumothorax, abdominal organ damage and other serious complications. CONCLUSION: Single-channel percutaneous nephrolithotomy combined with holmium laser lithotripsy under different soft-microscope treatment of stagnant nephrolithiasis has the advantages of gravel success rate and high rate of stone removal, less trauma, shorter operative time, fewer complications and risk of organ damage Small, etc., is an ideal method for the treatment of antler kidney stones.