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目的探讨多通道微创经皮肾镜取石术治疗复杂性肾结石的临床疗效。方法回顾性分析2010年05月至2012年03月我院收治的45例复杂性肾结石患者临床资料,45例患者均采用多通道微创经皮肾镜取石术治疗。结果本组45例患者中32例行双通道,13例行三通道完成手术,其中Ⅰ期手术结石取净率84.4%,Ⅱ期结石取净率95.2%。手术时间70～180min,平均110min。术中出血量80～450ml,平均120ml。术后住院时间7～14d,平均9d。结论多通道微创经皮肾镜取石术可弥补单通道的不足,可有效处理各种复杂性肾结石,缩短手术时间,提高结石清除率,值得临床推广。
Objective To investigate the clinical effect of multichannel minimally invasive percutaneous nephrolithotomy in the treatment of complex renal calculus. Methods The clinical data of 45 patients with complex renal calculi admitted to our hospital from May 2010 to March 2012 were retrospectively analyzed. All the 45 patients were treated by multi-channel minimally invasive percutaneous nephrolithotomy. Results Of the 45 patients, 32 patients underwent dual-channel surgery and 13 patients underwent three-channel surgery, of which stage I stone removal rate was 84.4% and stage II stone removal rate was 95.2%. Surgery time 70 ~ 180min, an average of 110min. Intraoperative bleeding 80 ~ 450ml, an average of 120ml. Postoperative hospital stay 7 ~ 14d, an average of 9d. Conclusion Multi-channel minimally invasive percutaneous nephrolithotomy can make up for the lack of single-channel, which can effectively treat various complex renal stones, shorten the operation time and improve the rate of stone removal, which deserves clinical promotion.