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目前对多发性肾结石和鹿角样肾结石的外科治疗,方法较多。Stephenson 1975年首先报道输尿管肾盂肾盏切开吻合术,(Ureteropyel-ocalycostomy)治疗肾结石的经验。我院1983年以来,采用该术式处理两例多发性肾结石,效果较好,报告如下。手术和方法硬膜外麻醉下,取十一肋间入路,将肾脏游离后,用橡皮筋绕过肾血管备阻断肾血流之用。用2°～4°C冰盐水连续灌浸肾脏和置冰屑于肾周降温,同时静脉滴注肌苷2克,将橡皮筋收紧或用无损伤肾蒂钳阻断肾血流,在近肾下极面输尿管壁上戳孔,用一可塑型的有槽探针插入,经肾盂直插至肾下盏作指引,沿探针将输尿管、肾盂、肾下盏内侧肾实质一次
At present, multiple surgical treatment of kidney stones and antler-like kidney stones, more methods. Stephenson first reported in 1975, ureteropelvic incision anastomosis, (Ureteropyel-ocalycostomy) treatment of kidney stones experience. Our hospital since 1983, the use of the surgical treatment of two cases of multiple nephrolithiasis, the effect is better, the report is as follows. Surgery and methods Epidural anesthesia, take eleven intercostal approach, the kidneys free, with rubber band around the renal blood vessels ready to block the use of renal blood flow. With 2 ° ~ 4 ° C ice saline continuous infusion of the kidneys and placement of ice debris in the perinatal cooling, intravenous infusion of 2 g of inosine, the rubber band tightened or without injury with renal pedicle clamp blocking renal blood flow in Near the lower pole of renal pelvis ureter wall punctured with a plastic slotted probe inserted through the renal pelvis straight into the lower kidney as a guide, along the probe ureter, renal pelvis, renal medial renal parenchymal once