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肾结石的治疗国内一般医院仍以手术为主,且多采用肾盂或肾窦内肾盂切开取石,但对鹿角形多发性肾结石有时术中会遇到困难,而需要做肾切开、部分肾切除等手术。这就需要控制肾蒂才能减少出血,有利于手术的进行。我院过去采用肠钳或沙氏钳暂时夹住肾蒂,肾动脉和静脉一同阻断。但自1963年以后,改进了控制肾动脉血流的方法,用1根细橡皮导尿管绕肾动脉1圈,用适当力量向上提起,即可阻断,但不阻断静脉,共进行了40例42次手术,体会到这种方法简单易行,可有效地控制肾实质出血,且可使肾脏变软,有利于结石的触及和取出。
Treatment of kidney stones The general hospital in China is still mainly surgery, and more use of the renal pelvis or renal pelvis incision lithotomy, but multiple deer antler renal surgery sometimes encounter difficulties, but need to do kidney incision, part of Nephrectomy and other surgery. This need to control the renal pedicle to reduce bleeding, is conducive to the operation. In the past, our hospital used intestinal forceps or Sharps forceps to temporarily clamp the renal pedicle, and the renal arteries and veins blocked together. However, since 1963, the method of controlling renal artery blood flow has been improved by using a fine rubber catheter around the renal artery for 1 circle and lifting it up with appropriate force to block but not block the vein for a total of 40 cases of 42 operations, I realized that this method is simple, can effectively control the renal parenchymal hemorrhage, and can make the kidneys softer, is conducive to the access and removal of stones.