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腎結石較小者,行腎盂切開取石術並无困難,甚或較大的結石,亦可无庸犧牲腎組織而予摘出;但若結石相當大或因解剖的特殊性,(腎內腎盂)就不是那樣容易了。有時可在腎之側緣作一較小切口,取除結石,組織損傷並不大,若是充滿腎盂的結石,作一較小切口就不可能摘除,即或将腎石挾碎取出,造成的損傷仍相當大。對於這種病例,可采用自腎側緣作縱行切開法(部分切開)及腎臓橫行切開法兩種方法。縱行切開過去常被應用,因其似乎符合腎之血管結構,理應損傷較小,但這是值得懷疑的,因爲泌尿系畸形極爲普遍,腎臓亦不例外,自此推論的腎縱切損傷性最少自亦不可靠,故這種方法現今已少應用。
The smaller kidney stones, line pyelolithotomy with no difficulty, or even larger stones, may also be expelled without sacrificing renal tissue; but if the stone is quite large or anatomical specificity (renal pelvis) is not That’s easy. Sometimes in the side of the kidney for a smaller incision, remove stones, tissue damage is not large, if it is full of renal pelvis stones, a small incision can not be removed, that is, or the kidney stone broken broken out, resulting in The damage is still quite large. For this case, can be used since the lateral margin of the kidney as the longitudinal incision (partial incision) and the renal pelvis transverse incision of two methods. Longitudinal incision has traditionally been used because it appears to conform to the vascular structure of the kidneys and should be less likely to be damaged, but this is questionable because urinary deformities are extremely common and nephrons are no exception. Since then, At least from the unreliable, so this method is now less applied.