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1993年6月～1997年2月,术中超声监视下施行肾盂或肾实质切开取石术治疗复杂性肾结石52例,其中多发性肾结石44例。鹿角形肾结石8例,疗效满意。本文介绍了复杂性肾结石术中超声声像图的特点,术中在超声监视下手术方法及应用术中超声监视的优点。作者认为,术中超声监视可以精确地进行结石定位,减少手术对肾实质和血管的损伤,提高了手术成功率,节省手术时间,降低手术并发症。
From June 1993 to February 1997, 52 patients with complicated renal calculus underwent renal pelvis or renal parenchymal incision and lithotripsy under intraoperative ultrasound, including 44 cases of multiple nephrolithiasis. Stagnant kidney stones in 8 cases, with satisfactory results. This article describes the characteristics of ultrasound sonography in complex nephrolithotomy, intraoperative surgery under ultrasound and the advantages of intraoperative ultrasound monitoring. The author believes that intraoperative ultrasound can accurately locate the stones, reduce the damage to the renal parenchyma and blood vessels, improve the success rate of surgery, save the operation time and reduce the complications.