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经肾实质切开取出肾鹿角石曾经是一个常规的手术治疗方法,但由于并发症极多,所以自从Gil-Vernet提出扩大肾窦内肾盂切石术之后,此法已废弃不用。但是如最近的一些报告所示和本文所指出的那样,肾实质切开取石术的应用虽然受一定的限制,但在治疗鹿角形肾石病例确有其一定的地位。本文报告190例鹿角肾石施行了保存性外科手术治疗,其中有20例根据先前结石手术的情况,结石形状及肾内型肾盂的形态而审慎地选择了肾背侧切开取石术治疗。
Subcutaneous removal of renal antler by the renal parenchyma was once a routine surgical treatment but has been discontinued since Gil-Vernet proposed to expand the renal sinus pethysis after pars plana. However, as shown in some recent reports and pointed out in this article, the application of renal parenchymal lithotomy is limited in the treatment of cases of antarctica and does have certain status. In this paper, 190 cases of stomatological nephrolithotomy were performed conservative surgery, of which 20 cases were carefully selected for dorso-rectolithotomy according to the previous stone surgery, stone shape and the shape of the renal pelvis.