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为探讨提高供肾质量和利用率的方法,总结了153次双侧整块取肾术后供肾修整的经验和教训,着重介绍了供肾畸形动、静脉的处理方法,并对术中应注意的问题进行了讨论.认为该方法有效、实用而简便,操作应轻柔细致,术中应确保持续切实的降温措施,不需要的血管须严密结扎,但应注意保留必要血供.
To explore ways to improve the quality and utilization of the kidneys, the experiences and lessons of 153 patients with kidney trimming after bilateral whole kidney removal were summarized, and the treatment methods of arteriovenous malformations and veins were introduced emphatically. Attention should be paid to the discussion.It is considered that this method is effective, practical and simple, the operation should be gentle and meticulous, the operation should ensure continuous and effective cooling measures, unwanted blood vessels need to be ligatured strictly, but care should be taken to reserve necessary blood supply.