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目的:探讨经皮肾镜钬激光碎石取石术(PCNL)治疗肾盏憩室结石的安全性及疗效。方法:对接受PCNL治疗的10例肾盏憩室结石患者的临床资料进行回顾性分析总结。结果:9例患者均行单通道一期碎石及取石,平均手术时间90 min,平均留置肾造瘘管7天,平均住院12天,术后住院时间7天。1例患者穿刺失败中转开放手术。均未出现大出血或邻近器官损伤等并发症,术后复查尿路平片示结石全部取净。结论:PCNL术治疗肾盏憩室结石安全、可行,疗效确切,与开放手术相比,能减少术中、术后出血及并发症,结石取净率高。具有创伤小、恢复快等优点。
Objective: To investigate the safety and efficacy of percutaneous nephrolithotomy with holmium laser lithotripsy (PCNL) in the treatment of calyceal diverticula calculus. Methods: The clinical data of 10 patients with calyceal diverticula calculus receiving PCNL were analyzed retrospectively. Results: All the 9 patients underwent single-stage lithotripsy and lithotripsy. The average operation time was 90 min. The mean length of renal fistula was 7 days. The average hospital stay was 12 days and the postoperative hospital stay was 7 days. One patient had failed puncture to switch to open surgery. No major bleeding or adjacent organ damage and other complications, postoperative urinary tract plain film showed all take net. CONCLUSION: PCNL is safe, feasible and effective in treating calculus of calyceal diverticula. Compared with open surgery, PCNL can reduce intraoperative and postoperative bleeding and complications. The rate of stone removal is high. With trauma, fast recovery and so on.