论文部分内容阅读
肾结石病例经肾盂切开取石术或肾切开取石术,术后结石复发率很高。作者绍介一种经肾盂凝结取石术,具体操作技术如下: 一、将1克的纤维蛋白原溶于25毫升的林格氏液或生理盐水液,同时将100单位的凝血酶溶于3毫升的生理盐水液。两种溶液分别置于温水浴中或温箱内加温,保持37℃至少15分钟,以使溶液温度均匀。当溶液温度达37℃时就不必再改变其温度。与此同时,手术显露肾盂。肾脏其它部位不游离。在肾盂处切开一小的横行切口,然后将一尖端呈漏斗状的导尿管置入此小切口内,使其正好堵于该切口,而不必以荷包缝合来防止漏液。如无该特制的导尿管,可将一般的导尿管的漏斗状部份剪下,再将其套于另一条导尿管也可。输尿管借橡皮带或无创血管钳阻断以便注入
Nephrolithotomy lithotomy or nephrectomy lithotomy, postoperative stone recurrence rate is high. The author introduced a renal pelvis and stone surgery, the specific operating techniques are as follows: First, 1 gram of fibrinogen dissolved in 25 ml of Ringer’s solution or saline solution, while 100 units of thrombin dissolved in 3 ml of Saline solution. The two solutions were placed in warm water bath or warm box, keep at 37 ℃ for at least 15 minutes, so that the solution temperature uniformity. When the temperature of the solution reaches 37 ° C, it is not necessary to change its temperature. At the same time, surgery revealed the renal pelvis. Other parts of the kidney is not free. A small transverse incision is made in the renal pelvis, and a pointed, funnel-shaped catheter is inserted into this small incision so that it fits directly into the incision without the need to pouch to prevent leakage. Without the special catheter, the funnel-shaped part of the general catheter can be cut off, and then it can be placed over the other catheter. The ureter is blocked by a rubber band or a noninvasive vascular forceps for injection