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目的:探讨微创经皮肾镜碎石取石术(mPCNL)治疗鹿角形肾结石的疗效和安全性。方法:应用PCNL治疗52例鹿角形肾结石,采用实时彩色多普勒超声引导穿刺、扩张建立F16微通道,钬激光粉碎结石。统计结石清除率以及手术并发症等。结果:52例均一期建立通道。一次治疗结石清除率71.2%,总清除率84.7%,术后2例出现发热,未发生脏器损伤和感染性休克病例。结论:mPCNL治疗鹿角形肾结石效率高、出血量少,是治疗鹿角形肾结石的安全、有效方法。
Objective: To investigate the efficacy and safety of minimally invasive percutaneous nephrolithotomy (mPCNL) in the treatment of antler kidney stones. Methods: Fifty-two antler kidney stones were treated with PCNL. The puncture was performed with real-time color Doppler ultrasound to establish F16 microchannel and holmium laser crushed stones. Statistics stone clearance and surgical complications. Results: All the 52 cases were established in one phase. A treatment of stone clearance rate of 71.2%, the total clearance rate of 84.7%, 2 cases of postoperative fever, no organ damage and septic shock cases. Conclusion: mPCNL treatment of antler kidney stones with high efficiency, less bleeding, is an effective and safe treatment of antler kidney stones.