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目的 :探讨治疗复杂肾结石的安全术式和引流方法。方法 :1995年 11月～ 2 0 0 2年 5月采用扩大肾窦肾盂肾后基段切开双管造瘘取石治疗复杂肾结石 87例 ,分析临床资料、疗效和并发症情况。结果 :平均术中出血约 30 0ml,手术耗时约 110min ,残留结石 3例 ,无尿瘘、尿路感染和继发出血。结论 :该术式加双管引流方法具有手术操作简单 ,易掌握 ,取石方便 ,出血少 ,术后并发症少等优点 ,是处理复杂肾结石的良好方法。
Objective: To discuss the safe operation and drainage method for treating complex renal calculi. Methods: From November 1995 to May 2002, 87 patients with complex nephrolithotomy were enrolled in this study. The clinical data, curative effect and complication were analyzed. Results: The average intraoperative blood loss of about 30 0ml, operation time of about 110min, residual stones in 3 cases, no urinary fistula, urinary tract infection and secondary bleeding. Conclusion: The operation plus double-tube drainage method has the advantages of simple operation, easy to grasp, convenient stone removal, less bleeding and less postoperative complications, which is a good method to treat complex renal calculus.