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改良腰部直切口行肾盂及上段输尿管切开取石术共15例,男9例,女6例。肾盂切开取石5例,其中4例为肾窦内肾盂切开取石术;输尿管上段切开取石10例,其中1例因结石下移离肾盂9cm,向下扩大切口6cm后顺利取出结石。操作方法:切口由患侧肋脊角起,于骶棘肌外缘往下斜向髂嵴内侧1cm,相当于腰部直切口与腰部斜切口之间,切口长8~10cm,皮肤以下组织切开类同腰部直切口。
A total of 15 cases with modified straight lumbar renal pelvis and upper ureterolithotomy were performed, including 9 males and 6 females. Pyelolithotomy in 5 cases, of which 4 cases of renal pelvis incision lithotomy; upper ureteral incision stone in 10 cases, of which 1 case of stones removed from the renal pelvis 9cm, expand the incision down 6cm after the smooth removal of stones. Operation method: incision from the ipsilateral rib ridge angle, down in the sacral spinous muscle down to the inside of the iliac crest 1cm, equivalent to the waist straight incision and oblique incision between the incision length of 8 ~ 10cm, cut the following tissue organizations Similar straight waist with the incision.