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我院自1990年1月～1998年12月采用开放性手术治疗复杂性肾结石78例,残石率11.1％。现将我们的体会报告如下。 1 临床资料 1.1 一般资料:本组78例,男性54例,女性24例,年龄17～68岁,平均31岁。左侧43例,右侧35例。病史3年～15年,其中病史10年以上者52例。78例术前检查均有不同程度的肾积水(全肾或局部肾),其中17例IVU检查患肾不显影或显影不良者,行肾盂逆行造影,78例中2例并发脓肾。 1.2 结石类型:本组复杂性肾结石包括:多发性肾结石28例,单纯鹿角形肾结石13例,鹿角形肾结石合并多发性肾结石34例,孤立肾结石2例。78
In our hospital from January 1990 to December 1998 using open surgery in 78 cases of complex renal stones, residual stone rate of 11.1%. Now we experience the report below. 1 Clinical data 1.1 General Information: This group of 78 patients, 54 males and 24 females, aged 17 to 68 years, mean 31 years. 43 on the left and 35 on the right. History of 3 years to 15 years, of which 52 cases of history of more than 10 years. 78 cases of preoperative examination have varying degrees of hydronephrosis (whole kidney or local kidney), of which 17 cases of IVU renal insufficiency or poor imaging, line retrograde pyelography, 78 cases of 2 cases complicated with pus. 1.2 Stone Type: The group of complex kidney stones include: 28 cases of multiple renal stones, simple staghorn kidney stone in 13 cases, antler kidney stones with multiple renal stones in 34 cases, isolated kidney stones in 2 cases. 78