肾窦内肾盂加肾实质联合切口治疗复杂性肾结石

目的 探讨治疗复杂性肾结石的手术方法。方法 对采用肾窦内肾盂加肾实质联合切开术治疗的36例复杂性肾结石患者的临床资料进行回顾性分析。结果 肾结石全部取净,术中不需要阻断肾蒂及局部低温处理、平均水中出血300ml,平均手术时间120min。术后B超或KUB检查,4例患者肾内有残余结石。结论 本手术方式符合肾动脉及其分支的解剖,肾损伤最小,手术步骤简单,易掌握,术中出血少,易取净结石,是较为合理的手术方法。

Treatment of complex renal calculi with transinusal pyelolithotomy and renal parenchyma incision

Objective To study the operative method of complex renal calculi. Methods Clinical data of 36 cases with complex renal calculi underwent intrasinusal pyelolithotomy and renal parenchyma incision was analyzed retrospectively. Results Renal calculi were completely extracted in 36 cases . It didn't need blockage of renal pedicle and local hypothermia during operation. The average volume of hemorrage was 300 milliliore. The mean asumed time for operation was 120 minutes. The residnal intrarenal calculi in 4 patients were found in postoperative examination of B-ultrasono-graphy or KUB. Conclusion This technique wincide with the anatomy of renal artery and its branch. There, are many advantages such as simple operation,less blood lass, easily mastering, By this treatment the renal calculi were easily extracted. It's rational and should be recommend.