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目的 :探讨肾后基段间区切开取石术治疗复杂性肾鹿角状或铸状结石的疗效。方法 :应用肾后基段间区切开取石术治疗复杂性肾鹿角状或铸状结石 31例。结果 :术中输血 8例、平均输血1 1 6ml;术后 3周 KUB加 IVU复查 ,肾脏显影正常 ,积水减少 ,无肾内外狭窄 ;结石一次性取净2 6例 ,残余结石 5例 ,其中 4例经 ESWL治愈 ,1例结石自然排净。结论 :肾后基段间区切开取石术具有术中出血少、结石一次性取净率高、肾集合系统破坏小、肾功能受损轻及便于处理残余结石等优点。适合于肾内型肾盂鹿角状或铸状结石并发肾盏多发性结石的治疗。
Objective: To investigate the effect of posterior segmental lithotomy in the treatment of complex deer horn or cast stone. Methods: Thirty - one cases of complex deer antler or cast stone were treated with posterior segmental lithotomy. Results: Intraoperative blood transfusion in 8 cases, the average blood transfusion of 116ml; 3 weeks after the KUB plus IVU review, the normal renal development, reduce water, no internal and external stenosis; stones removed a net 26 cases, residual stones in 5 cases, Among them, 4 cases were cured by ESWL, and one case had natural stone drain. Conclusion: The posterior segment of basilar segment excision lithotomy has the advantages of less intraoperative bleeding, high rate of one-time taking of stones, less destruction of renal collecting system, impaired renal function and easy treatment of residual stones. Suitable for the treatment of intra-renal renal pelvis antlers or cast stones with multiple calculus of calyces.