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在肾脏多发结石的取石手术中,常常遇到小结石残留,且在肾实质比较厚的时候不易寻找。为了在手术时能取净全部结石,我们分析了自1962年以来265例肾结石手术,其中:残留结石11例,占4％。因此对残留结石的研究显得十分重要。本文试从如下两个方面进行探讨:(1)残留结石的原因分析;(2)取石器械的改进。一、原因分析以往我们在摄片前通常采用:(A)病人侧卧位;(B)在肾脏下填塞生理盐水纱布(抬高,固定肾脏);(C)病人一侧平行放置摄片暗盒(相对肾脏投影),暗盒外包以二块消毒方巾;(D)手术者挡住摄片盒;(E)放
Stones in the kidney more stone surgery, often encountered small stones, and in the thick of the kidney parenchyma is not easy to find. In order to be able to take all the stones at the time of surgery, we analyzed 265 cases of nephrolithotomy since 1962, of which 11 were residual stones, accounting for 4%. Therefore, the study of residual stones is very important. This article tries to explore from the following two aspects: (1) Analysis of the causes of residual stones; (2) improvement of stone instruments. First, the reasons for the past, we used in the past usually taken before the film: (A) the patient’s lateral position; (B) in the kidney filled with saline gauze (elevation, fixed kidney); (C) side of the patient placed parallel to the film cassette (Relative kidney projection), cartridge disinfected with two disinfected square; (D) Surgery block; (E) release