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目的探讨微创经皮肾穿刺取石术(min-PCNL)治疗输尿管上段结石的疗效。方法分析2003年1月至2008年4月32例输尿管上段结石行min-PCNL治疗的临床资料。结果所有患者均行一期穿刺成功,治疗成功率31/32,一次结石取净率100%。术中无输尿管穿孔、撕脱等并发症。结论min-PCNL治疗输尿管上段结石,取石成功率高,损伤小,痛苦小,效果确切。对并发、继发病变的输尿管上段结石,选用min-PCNL治疗安全性、有效性更好。
Objective To investigate the effect of minimally invasive percutaneous nephrolithotomy (min-PCNL) in the treatment of upper ureteral calculi. Methods From January 2003 to April 2008 32 cases of upper ureteral calculi min-PCNL treatment of clinical data. Results All patients underwent a successful puncture, the success rate was 31/32, a stone removal rate of 100%. Intraoperative ureter perforation, avulsion and other complications. Conclusion min-PCNL treatment of upper ureteral calculi, stone high success rate, less damage, less pain, the exact effect. For concurrent, secondary lesions of the upper ureteral calculi, the choice of min-PCNL treatment of security, better effective.