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随着新技术的出现,肾鹿角状结石需要重新分类,以便确定最佳治疗方案。作者在3年中治疗了269例肾鹿角状结石患者,其中56%单用ESWL治疗;16%行开放性手术治疗;28%行经皮肾脏碎石术(PCNL)与ESWL联合治疗。 150例充满整个小肾孟及肾盏的小鹿角状结石均以ESWL作为首选治疗,经1或2次治疗而成功。43例充满肾盂肾盏的巨大鹿角状结石(长径>10cm,厚度达5cm)则首选开放性手术治疗。在上述两种结石之间的鹿角状结石均选用PCNL与ESWL的联合治疗。作者复习了76例患者联合治疗的损伤情况、疗效、并发症及费用,认为只有那些大部分位于肾盂内,经皮可取出70%以上的鹿角状结石能够从联合治疗中获益。
With the advent of new technologies, renal deer hornlike stones need to be reclassified in order to determine the best treatment. The authors treated 269 patients with nephroditism in three years, 56% of whom were treated with ESWL alone, 16% with open surgery, and 28% with percutaneous nephrolithotomy (PCNL) and ESWL. 150 cases of small deer antler calculus filled the entire small kidney and calyceal calculus were treated with ESWL as the preferred treatment, after 1 or 2 times the treatment and success. 43 cases of pyelolitholithiasis (long diameter> 10 cm, thickness of 5 cm) filled with pyelonephritis are the first choice of open surgery. Staggered stones between the two stones are selected PCNL and ESWL combination therapy. The authors reviewed the injury, efficacy, complication, and cost of the combination therapy in 76 patients and concluded that only those anthelical stones, mostly in the pelvis, that can be removed more than 70% percutaneously, can benefit from combination therapy.