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过去无论结石情况如何,凡是肾或上段输尿管结石,传统上皆采用腰部斜切口进行手术。然而,某些肾盂结石及输尿管上段结石用腰背部直切口即可解决问题,并有免除较大的损伤和缩短住院期等好处。自1982年底以来,我组选择性应用此种切口于12例病人,取得良好结果。现报告如下。临床资料本组12例中男9例,女3例,年龄最小为22岁,最大61岁;上段输尿管结石3例,肾外型肾盂结石5例,肾内型肾盂结石2例,肾下盏结石2例;合并有肾积水者10例。分别作了输尿管上段切开、肾盂切开和肾窦内肾盂切开取石。伤口均1期愈合。
In the past, regardless of the condition of the stone, any kidney or upper ureteral calculi, traditionally used oblique incision for surgery. However, some pelvic stones and upper ureteral calculi with straight back to the waist to solve the problem, and to avoid the greater damage and shorten the hospitalization and other benefits. Since the end of 1982, our group has selectively applied this incision to 12 patients and achieved good results. The report is as follows. Clinical data The group of 12 patients, 9 males and 3 females, the youngest was 22 years old, maximum 61 years old; the upper ureteral calculi in 3 cases, 5 cases of renal pelvic stones in 5 cases, renal pelvic calculi in 2 cases, 2 cases of stones; 10 cases of hydronephrosis. Respectively made the upper ureteral incision, pyelonephrosis and renal pelvis incision lithotomy. The wounds were healed one time.