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目的:探讨经皮肾镜钬激光碎石术治疗感染性肾结石的疗效及安全性。方法:对63例感染性肾结石患者进行了经皮肾镜钬激光碎石术,回顾分析患者的临床资料。结果:63例手术均获成功,3例联合经皮肾软镜取石,17例联合ESWL治疗。术中液体灌注时间平均(67±26)min。术后37例(58.7%)出现尿脓毒血症,2例(3.1%)发生重症尿脓毒血症。无其他严重并发症发生。随访2~12周,92.9%结石排净。结论:经皮肾镜钬激光碎石治疗感染性肾结石是一种安全、有效的手术方法,对于复杂的结石常需要多种治疗方法的联合应用。
Objective: To investigate the efficacy and safety of percutaneous nephroscope holmium laser lithotripsy in the treatment of infectious kidney stones. Methods: Percutaneous nephrolithotomy with holmium laser lithotripsy was performed in 63 patients with infectious kidney stones. The clinical data of the patients were retrospectively analyzed. Results: All the 63 surgeries were successful. Three cases were treated by percutaneous nephrolithotomy and 17 cases were treated with ESWL. Intraoperative fluid perfusion time average (67 ± 26) min. Urine sepsis occurred in 37 (58.7%) patients and severe urinary sepsis occurred in 2 (3.1%) patients. No other serious complications occurred. Follow-up 2 to 12 weeks, 92.9% of the stones row net. Conclusion: Percutaneous nephroscope holmium laser lithotripsy for the treatment of infectious kidney stones is a safe and effective surgical method, which often requires the combination of multiple treatments for complex stones.