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经皮肾穿刺置管封堵联合输尿管镜治疗输尿管石街

Chinese Journal of Minimally Invasive Surgery(2019)

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Abstract
大量碎石在输尿管、尿道内堆积没有及时排出,就会堆积成"石街",以输尿管石街为多见[1]. 输尿管石街的治疗一直是棘手的问题,特别是较长的石街,单纯的输尿管镜碎石( ureteroscopic lithotripsy , URL)存在较多困难和不足,如结石容易漂移,不能一次清石,术后仍需一定时间排石等,而经皮肾镜取石( percutaneous nephrolithotripsy , PCNL )联合 URL治疗输尿管石街可能发生 PCNL 引起的大出血.2015年11月~2018年3月,我们应用经皮肾穿刺置管封堵联合输尿管镜下气压弹道碎石治疗输尿管石街13例,疗效满意,现报道如下.
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