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目的探讨肾结石的有效治疗方法。方法采用微创经皮肾镜取石术(mPCNL)对95例肾结石患者进行治疗观察。结果本组mPCNL均一期穿刺成功并顺利碎石,取石成功89例,成功清除率93.7%,术中未出现气胸、结肠损伤等严重并发症。患者术后第2~3天即可下床活动,无肾切除、伤口尿瘘、液气胸等严重并发症。随访3~6个月,原有肾功能损害者的肾功能均有不同程度恢复。结论微创经皮肾镜取石术具有操作简单、手术时间短、创伤小、出血少、结石清除率高、并发症发生率低等特点,是肾结石的有效治疗方法。
Objective To explore the effective treatment of kidney stones. Methods Ninety-five patients with nephrolithiasis were treated with minimally invasive percutaneous nephrolithotomy (mPCNL). Results In this group, 89 cases were succeeded in successfully puncturing mPCNL with uniform puncture. The success rate was 93.7%. There were no serious complications such as pneumothorax and colonic injury during operation. Patients after 2 to 3 days to get out of bed activities, no nephrectomy, wound urinary fistula, liquid pneumothorax and other serious complications. Followed up for 3 to 6 months, the renal function of the original renal function were recovered to varying degrees. Conclusion The minimally invasive percutaneous nephrolithotomy has the advantages of simple operation, short operative time, less trauma, less bleeding, high stone clearance rate and low complication rate, which is an effective treatment for kidney stones.