气压弹道碎石联合肾盂切开取石治疗复杂性肾结石（附14例报告）

目的：本文探讨气压弹道碎石联合肾孟切开取石治疗复杂性肾结石的疗效。方法：对14例复杂性肾结石患者采用肾盂切开联合瑞士EMS气压弹道碎石机气压弹道碎石治疗复杂性肾结石。结果：手术时间100—180分钟。术后残余小结石8例，经ESWL、体位排石、药物排石，6例排出，无继发性出血及尿漏发生。术后随访3～6个月，14例复查尿路平片＋静脉尿路造影、泌尿系彩超，原有6例轻度肾积水患者肾积水消失，7例中度肾积水患者中有5例明显消退，1例血肌酐异常者较术前明显改善。结论：气压弹道碎石联合肾孟切开取石具有操作简便、结石取尽率高、肾功能损伤小、术中出血少等优点。

Pneumatic lithotripsy combined with pyelolithotomy in treatment of complex renal calculi： A report of 14 cases

Objective： To evaluate the clinical value of pneumatic lithotripsy combined with pyelolithotomy in treatment of complex re- nal calculi. Methods：14 cases of patients with kidney stones cut the complexity of the renal pelvis exposed stone, stone exposure, with Switzerland EMS pressure ballistic hammer apparatus, end through the handle is connected in air compressor, need not ureteroscopy, with gravel TanGan pointed directly at stone, start pressure pump, will shatter stone, the out of the renal pelvis or washed away. Results： 14 patients successfully gravel succeed, operation time 100 - 180 rain. Postoperative residual small stones in 8 cases, ESWL, postures row by stone, drug row stone, 6 cases of education, no secondary bleeding and urinary leak happened. Follow - up of 3 - 6 months, fourteen patients review urinary radiographs and vein urinary imaging, the original hydronephrosis obvious subsidise, creatinine unusual personwere improved obviously improved. Conclusion：Pneumatic lithotripsy combined with pyelolithotomy in treatment of complex renal calculi could effectively treat complex renal calculi and minimize renal injury.