不阻断肾动脉肾实质切开治疗复杂性肾结石67例临床体会

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本文报告67例复杂性肾结石,在不阻断肾动脉肾实质切开取石,收到了满意的效果。现将切口选择、取石要点、术中肾功能保护介绍如下。 临床资料 一、一般资料:本组病例男41例,女26例。年龄16—63岁。右肾结石38例,左肾结石23例,双肾结石6例。12例有氮质血症。2例有对侧肾切除史。结石最多达514枚,最重37g。术前排泄性静脉造影均有积水,合并肾功能不全者积水明显加重。 This article reports 67 cases of complex kidney stones, kidney arteries do not block the cut of stone, received satisfactory results. Now incision choice, stone points, intraoperative renal function protection are as follows. Clinical data First, the general information: The group of 41 males and 26 females. Age 16-63 years old. Right kidney stones in 38 cases, 23 cases of left kidney stones, kidney stones in 6 cases. 12 cases of azotemia. 2 cases of contralateral nephrectomy history. Stones up to 514, the most weight 37g. Preoperative venous drainage venous water, combined with renal insufficiency significantly increased water.
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