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巨大鹿角形肾结石的治疗很困难,既要取尽结石。又要避免损伤肾内血管,保存肾组织;历来是一个棘手的问题,国内、外许多学者都进行过研究。提出各种不同的手术方法。改进的肾窦内肾盂切开或体外震波碎石是治疗中小鹿角形肾结石的治疗仍在探讨中,我们通过160例成人尸体肾的应用解剖学研究。根据肾窦和肾后部动脉的解剖学的特点。设计出在改进的肾窦内肾盂切开取石术的基础上,加用肾后部段间区切开治疗巨大鹿角形多发性肾结石,主要手术方法是在充分显露肾盂深部及肾盏漏斗部后,剪开肾门内上方的脂肪组织及肾窦脂肪包膜,解剖出后段动脉主干的起始部,从外周静脉内滴注肌苷,用无损伤血管夹阻断
Huge antler kidney stones treatment is difficult, it is necessary to complete the stones. But also to avoid damage to the renal blood vessels, the preservation of renal tissue has always been a thorny issue, many scholars at home and abroad have conducted research. Various methods of surgery were proposed. Improved intra-renal sinus pelvis incision or extracorporeal shock wave lithotripsy is still being explored for the treatment of small antler kidney stones, and we applied anatomical studies of 160 adult cadaveric kidneys. According to the anatomy of the renal sinus and posterior renal arteries. Designed to improve the renal sinus pyelolithotomy based on the addition of the use of posterior segmental area of the open incision for the treatment of huge antler multiple nephrolithiasis, the main surgical method is to fully reveal the deep renal pelvis and renal funnel Department After the opening of the renal capsule above the fatty tissue and renal fat capsule, anatomy of the beginning of the main artery of the posterior segment, instillation of inosine from the peripheral venous, with no injury vascular clip blocking