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1978年7月～1985年12月作者等采用经腰背切口手术治疗上尿路疾患100例,其中包括肾、输尿管结石78例,肾盂输尿管交界处狭窄12例,单纯肾切除4例,开放肾活检5例,取输尿管残留导管1例。手术时患者呈患侧向上前倾15度侧卧位,手术台微凸以显露术野。皮肤切口选于沿骶棘肌边缘的12肋与髂嵴间,沿切口方向游离腰背筋膜,分离骶棘肌、腰背筋膜深层,切开肾周脂肪囊和肾盂。若为输尿管手术无需切开肾周脂肪,只将腹膜向前、中方向推开,以便寻觅输尿管。缝合深层腰背筋膜、腹横肌腱膜和厚的腰背筋膜浅层和切口。作者比较了12例肾盂输尿管成形术的两种术式:采用腰背切口的比经腹切口的术后住院时间减少1～3天,术后麻药用量减少近一半,手术时间平
From July 1978 to December 1985, the authors adopted 100 cases of upper urinary tract diseases treated by lumbar incision surgery, including 78 cases of renal and ureteral calculi, 12 cases of ureteropelvic junction stenosis, simple nephrectomy in 4 cases, open kidney Biopsy in 5 cases, take ureteral catheter in 1 case. Surgery patients were sideways up to 15 degrees lateral position, micro-convex surgical table to reveal the surgical field. Skin incision selected along the edge of the sacral spine muscle between the 12 ribs and iliac crest, free incision along the back of the fascia, sacral spine muscle separation, deep back fascia, perinephric fat capsule and renal pelvis. If ureter surgery without perirenal fat cut, only the peritoneum in front of the direction of opening, in order to find the ureter. Suture deep dorsal fascia, transversus abdominis aponeurosis and thick lumbar fascia superficial and incision. The authors compared two procedures for ureteropelvic angioplasty in 12 cases: the postoperative hospital stay with a lumbar incision was reduced by 1 to 3 days compared to a transabdominal incision, the amount of anesthetic used was reduced by nearly half and the operative time was