超声引导下标准通道经皮肾镜碎石术治疗上尿路结石的经验总结：207例报告

 目的评价超声引导下经皮肾镜碎石术（PCNL）治疗上尿路结石的疗效和治疗经验。方法回顾性分析2007 年12 月至2009 年11 月采用PCNL治疗的207 例上尿路结石患者的临床资料。其中单纯肾结石141 例，肾结石合并输尿管结石25 例，单纯输尿管结石28 例，多发结石180 例，铸型结石68 例。结石大小2.64~30.21 cm3。所有患者均用EMS 芋代气压弹道联合超声组合式碎石系统碎石。结果所有患者1 次穿刺成功，188 例患者1 次取石成功，19 例患者行二期PCNL手术成功。手术时间为50~130 min，平均90 min，术后平均住院时间6 d。结石清除率为92%。术后并发症71 例，其中出血34 例，发热37 例。结论超声引导下标准通道PCNL 治疗上尿路结石创伤小，术后恢复快，安全有效。

Standard Percutaneous Nephrolithotripsy with Pneumatic and Ultrasonic Power Under B-type Ultrasound Guidance for Treatment of Calculus in Upper Urinary:Report of 207 Cases

Objective To present the clinic efficacy and our experience with PCNL using pneumatic and ultrasonic power under B-type ultrasound guidance in the treatment of calculus in upper urinary.Methods We summarized the clinical data of 207 cases treated by standard PCNL from December 2007 to November 2009.The indications for PCNL were renal stones in 141 cases,renal stones with ureteral stones in 25 cases,ureteral stones in 28 cases,multiple calculus in 180 cases,emplastic calculus in 68 cases.The maximum of stone...