论文部分内容阅读
本文报导自1965—1982年,采用肾部分切除治疗肾结石273例的临床经验,并对临床资料进行分析。本组男女之比为4:1,青壮年占85.5％,症状以血尿、腰痛为主,次为膀胱刺激症。结石位于肾盂下盏占85.3％。本组98.2％作肾下极切除,个别加小切口则可取净各类型肾结石。强调术中尽量保存肾组织,一般切除相当于一侧肾脏的1/5—1/6。肾断面用“○○○”肠线经肾皮质与髓质交界处穿过肾孟或肾盏连续缝合关闭。止血可靠,手术简便,并发症少,无手术死亡。术后出血占1.4％。尿瘘0.74％。伤口感染3.3％,结石复发率为15.5％,术后肾功能有不同程度的明显改善。文中提出手术适应证及手术方法改进的根据。实践证明,本术式既能取净结石又能去除局部结石复发因素,最大限度保存患肾又能改善肾功能。因此,严格掌握具有手术适应证的病例,本术式是一种安全有效的手术方法。
This article reports from 1965-1982, the use of partial nephrectomy in the treatment of 273 cases of kidney stones clinical experience, and clinical data analysis. The ratio of men to women in this group is 4: 1, 85.5% of young adults, symptoms of hematuria, low back pain, followed by bladder irritation. Stones located in the lower pelvis accounted for 85.3%. This group of 98.2% for radical subtotal excision, individual plus a small incision is acceptable net all types of kidney stones. Emphasize intraoperative preservation of renal tissue, the general removal of the equivalent of 1 / 5-1 / 6 on one side of the kidney. Renal section with “○○○” catgut by renal cortex and medulla at the junction through the kidney Meng or calyx continuous suture closed. Hemostatic reliable, simple operation, fewer complications, no operative death. Postoperative bleeding accounted for 1.4%. 0.74% urinary fistula. Wound infection of 3.3%, stone recurrence rate was 15.5%, postoperative renal function in varying degrees of significant improvement. The article proposed surgical indications and surgical methods to improve the basis. Practice has proved that this operation can take net stones but also remove the recurrence of local stones, maximize the preservation of the affected kidney can improve renal function. Therefore, strictly control the cases with surgical indications, this technique is a safe and effective surgical method.