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我院1985年9月～1986年12月,使用上海第二医学院制造的YJCO_2-5型激光器作肾部份切除治疗肾盏嵌铸型肾结石3例,效果满意,报告如下:临床资料:3例患者均为男性,年龄平均47岁,都有典型的肾区绞痛伴有血尿反复发作病史,经KUB 及IVP 检查,确诊为左肾下盏、右肾上盏及下盏结石各1例,均为嵌铸型肾盏结石,直径都大于1cm。1例多发,2例单发。均为肾内型肾盂,无肾积水,从肾盂切开取石有困难,适用肾部份切除取石术。手术方法:应用持续硬膜外麻醉,作11肋间切口,游离肾脏,2例作肾蒂阻断血循环,1例作肾脏局部阻断血循环。使用YJCO_2激光器切除肾脏1/5左右,全部顺利取出结石。肾脏切面光整,无焦痂,分别用5及3-0羊肠线缝合较大的血管及肾脏切面。2例肾蒂阻断血循环时
Our hospital from September 1985 to December 1986, the use of YJCO_2-5 laser manufactured by Shanghai Second Medical College for partial nephrectomy kidney calculus nephrolithiasis in 3 cases, the results are satisfactory, the report is as follows: Clinical data: All 3 patients were male, with an average age of 47 years old. All of them had typical renal colic with a history of recurrent hematuria. After KUB and IVP examinations, they were diagnosed as left lower kidney, right upper kidney and lower one Cases, are cast-shaped calyce calculus, diameter greater than 1cm. 1 case multiple, 2 cases single. Are intrarenal renal pelvis, no hydronephrosis, stone removal from the pelvis difficult, for partial removal of the kidney lithotomy. Surgical methods: continuous epidural anesthesia, 11 intercostal incisions, free kidneys, 2 cases of renal pedicle block blood circulation, 1 case of local renal block blood circulation. The use of YJCO_2 laser excision of the kidney about 1/5, all the smooth removal of stones. Nephrectomy, no eschar, with 5 and 3-0 catgut suture larger blood vessels and kidney section. 2 cases of renal pedicle block blood circulation