微创经皮肾镜联合电子输尿管软镜钬激光碎石术治疗鹿角形肾结石的效果观察

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Abstract Objective To investigate the safety and efficacy of percutaneous nephroscopycombined with electronic flexible ureteroscopy holmium laser lithotripsy in the treatment of staghorn renal calculus.Methods 60 patients with staghorn renal calculus treated by our hospital from January 2013 to April 2016 were retrospectively analyzed.They were divided into treatment group(n=20)and control groupn(n=40).The treatment group was given percutaneous nephroscopy combined with electronic flexible ureteroscopy holmium laser lithotripsy treatment,while control group was given percutaneous nephroscopy holmium laser lithotripsy treatment.The curative effect of operation between two groups was compared.Results Clearance rate of stageⅠcalculus and comprehensive stone in treatment group was significantly higher than that of control group respectively(80.0%vs 50.0%,90.0%vs 67.5%);the average amount of bleeding during operation was significantly less than that of control group[(9.1±1.6)ml vs(22.1±7.6)ml](P<0.05).Conclusion Minimal invasive percutaneous nephroscopy combined with electronic flexible ureteroscopy holmium laser lithotripsy in the treatment of staghorn renal calculus is a safe and effective operation,and it can improve the clearance rate of calculus and reduce blood loss.

Key words： Percutaneous nephroscopy Electronic flexible ureteroscopy Complex renal calculi

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	PAN Wei-bing
	ZHANG Sui-bing
	XIE Li-ren

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PAN Wei-bing,ZHANG Sui-bing,XIE Li-ren. Effect observation of minimal invasive percutaneous nephroscopy combined with electronic flexible ureteroscopy holmium laser lithotripsy in the treatment of staghorn renal calculus[J]. 中国当代医药, 2016, 23(31): 47-50.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I31/47

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