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There were no blood transfusion or serious complication in the study.Conclusions:Retroperitoneal laparoscopic operation,such as adrenalectomy,nephropexy,pelvioplasty,unroofing of renal cyst,pelvilithotomy,ureterdithotomy and spermatic vein ligation,have the advantages of minimai invasion,less blood loss and fewer complications,which is an effective and practical procedure.

后腹腔镜肾上腺瘤切除术、肾固定术、肾盂成形术、肾囊肿去顶术、肾盂或输尿管切开取石术及腹腔镜精索静脉高位结扎术具有创伤小、出血少、并发症少等优点,临床疗效可靠,实用性较强。

Objective To discuss the necessity for routine placement of nephrostomy tube after minimally invasive percutaneous nephrolithotomy for renal calculi.

导读:目的探讨微创经皮肾镜取石术后常规放置肾造瘘管的必要性。

No nephrostomy tube was placed at the conclusion of the procedure and no second-stage MPCNL was required.

目的 探讨微创经皮肾镜取石术后常规放置肾造瘘管的必要性。

Results Out of the4527paˉtients treated by ESWL,stones were excreted completely from4512patients within2weeks;12patients who had comˉplication of the urethra stone street were cured by transcutaneous nephrocentesis,nephrostomy and ureterolithotomy through uretercystoscope;stones weretaken out by operation from the other3patients,from whom the excretion of stones was not possible.

结果 经ESWL治疗的4527例泌尿系结石病人中,4512例在2周内排尽结石,12例并发输尿管&石街&,加用经皮肾穿刺造瘘和输尿管镜取石治疗,3例中转手术治疗。

Results Out of the4527paˉtients treated by ESWL,stones were excreted completely from4512patients within2weeks;12patients who had comˉplication of the urethra stone street were cured by transcutaneous nephrocentesis,nephrostomy and ureterolithotomy through uretercystoscope;stones weretaken out by operation from the other3patients,from whom the excretion of stones was not possible.

目的 探讨ESWL治疗泌尿系结石的效果。方法回顾性分析经ESWL治疗的4527例泌尿系结石病人。结果经ESWL治疗的4527例泌尿系结石病人中,4512例在2周内排尽结石,12例并发输尿管&石街&,加用经皮肾穿刺造瘘和输尿管镜取石治疗,3例中转手术治疗。

The complicated ureter stone-streets were cured by trascutaˉneous nephrocentesis and nephrostomy through ureterocystoscope,haemostatic and antibiotic.The12patients hadn't variation of nephrofunction and recurrence of stone for following3-24months.

经皮肾穿刺造瘘术和输尿管镜取石,止血,抗炎等治疗后,排尽石头,随访3 月~2年未见肾功能改变和结石复发。

Methods The diagnosis was obtained by using ultrasound, KUB, CT and cystoscopy retrograde urography. Obstruction was relieved by treatment with ESWL, one or bilateral ureterolithotomy, pyelolithotomy, ureterocatheterization or pyelostomy.

通过B超、KUB、CT膀胱镜逆行插管检查明确诊断,通过ESWL一侧或双侧输尿管切开取石,肾盂切开取石,输尿管内置双J管或肾造瘘等方法治疗解除梗阻。

objective: to investigate the value of minimally invasive perctaneous nephrolithotony in upper ureteric calculi.

目的:探讨经皮肾微造瘘输尿管肾镜取石术在输尿管上段结石的应用价值。

The complicated ureter stone-streets were cured by trascutaˉneous nephrocentesis and nephrostomy through ureterocystoscope,haemostatic and antibiotic.The12patients hadn't variation of nephrofunction and recurrence of stone for following3-24months.

经皮肾穿刺造瘘术和输尿管镜取石,止血,抗炎等治疗后,排尽石头,随访3个月~2年未见肾功能改变和结石复发。

The low expression reductase in the calcium oxalate urolithic patientsmay play an important role by vitamin K circle in the formation of calcium oxalateurolithiasis.

结论草酸钙尿石症患者肾组织内VKORC1表达降低在草酸钙尿石形成中有重要作用,并可能通过维生素K循环作用于VKDC而发挥机制。

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