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目的 总结巨大鹿角形肾结石更为有效的手术治疗方法。方法 经肾后侧下部作放射状肾实质切口 ,延长肾窦内肾盂切口 ,直到个别狭窄的肾盏颈部 ,治疗 18例巨大鹿角形肾结石。结果 术中不需阻断肾蒂 ,平均出血量 310ml,肾内残留结石 2例 ,但均小于 1 0cm。结论 本术式具有不需阻断肾蒂 ,切口对肾脏损伤小 ,对肾功能影响小 ,出血少 ,结石取净率高等优点 ,是治疗巨大鹿角形肾结石的良好术式。
Objective To summarize the great antler-shaped kidney stones more effective surgical treatment. Methods The lower part of the kidney for radial renal parenchyma incision, extending the renal pelvis incision until a few narrow neck of the calyx, the treatment of 18 cases of huge antler kidney stones. Results Intraoperative need not block the renal pedicle, the average blood loss of 310ml, 2 cases of residual stones in the kidney, but were less than 10cm. Conclusion This procedure has the advantages of no need to block the renal pedicle, small incision injury to the kidney, little effect on the renal function, less bleeding and high rate of stone removal. It is a good technique for the treatment of huge antler kidney stones.