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对体外震波碎石及中西医结合治疗无效的42例肾盂及输尿管上段结石行腰部小切口取石,术后恢复迅速,疗效满意。 1 资料与方法 1.1 临床资料 本组42例,男31例,女11例,年龄20～68岁,肾结石4例,输尿管上段结石38例,单侧39例,双侧3例。伴肾积水42例。结石直径为0.5～3.0cm。伴感染2例。病史3月～6年,术前均作KUB加IVP及B超确诊定位,全组行腰部小切口取石。 1.2 方法 连续硬膜外麻醉,俯卧位,患侧略
42 cases of extracorporeal shock wave lithotripsy and traditional Chinese and Western medicine treatment ineffective renal pelvis and ureteral calculi line of small incision waist, rapid recovery after surgery, the effect is satisfactory. 1 Materials and Methods 1.1 Clinical data The group of 42 patients, 31 males and 11 females, aged 20 to 68 years, 4 cases of kidney stones, upper ureteral calculi in 38 cases, 39 cases of unilateral, bilateral in 3 cases. With hydronephrosis in 42 cases. Stone diameter of 0.5 ~ 3.0cm. With infection in 2 cases. History of 3 months to 6 years, preoperative KUB plus IVP and B ultrasound diagnosis of positioning, the whole line of small incision waist stone. 1.2 Methods Continuous epidural anesthesia, prone position, ipsilateral slightly