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目的 :探讨肾实质肾盂分层切口治疗复杂性肾鹿角状结石的效果。方法 :采用肾实质肾盂分层切口治疗复杂性肾鹿角状结石 2 4例。具体方法是作 12肋缘上切口 ,游离肾脏 ,分离肾窦内肾盂 ,用 1— 0合成可吸收缝线在肾中下 1/ 3交界处无血管区从肾后唇向外侧缘作两排扣锁式缝合肾实质全层 ,切开肾实质。从肾上盏颈经肾盂输尿管交界处向肾下盏颈作一弧形切口 ,即可取出结石 ,直视下探查各肾盏 ,用 4— 0可吸收缝线缝合肾盂 ,1— 0可吸收缝线间断缝合肾实质全层。结果 :18例结石一次完全取净 ,其余 6例有 1～ 3粒不等的残留结石 ,经 ESWL治愈。结论 :肾实质肾盂分层切口适用于肾内型肾盂鹿角状结石和复杂多发性肾结石手术。
Objective: To investigate the effect of renal parenchyma incision on the treatment of complex deer antlers. Methods: The renal parenchymal pelvis incision was used to treat 24 cases of complex deer antler keratite. The specific method is to make 12 ribs marginal incision, free kidney, isolated renal pelvis within the renal pelvis with 1 0 synthetic absorbable suture in the kidney 1/3 at the junction of the avascular area from the posterior lip to the lateral margin of the two rows Clasp stitching full parenchyma renal parenchyma, cut the kidney parenchyma. From the renal calyx neck by the renal pelvis and ureter junction to the lower neck of the neck for an arc incision, you can remove the stones, look under the kidney calyx, with 4-0 absorbable suture suture renal pelvis, 1- 0 absorbable Suture intermittent suture full of parenchyma. Results: Eighteen stones were completely removed at one time. The remaining six cases had 1 ~ 3 residual stones which were cured by ESWL. Conclusion: Renal parenchyma incision is suitable for renal pelvic deer keratomileusis and complicated multiple nephrolithiasis.