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目的探讨复杂肾结石的手术治疗方法。方法回顾性分析340例复杂肾结石手术的临床资料。结果术后经B超或腹平片检查,34例有残留结石,取尽结石率占89%。术中术后大出血8例,其中术中止血困难肾切除2例,术后7d大出血1例经处理无效行肾切除,术后12d大出血1例经再手术止血成功,余4例经处理出血停止。肾切除率8.8%(30/340)。结论肾窦内肾盂切开或联合肾后下部切开取石,出血少、易取尽结石、肾功能影响小,是治疗复杂肾结石的理想术式之一。
Objective To investigate the surgical treatment of complex kidney stones. Methods The clinical data of 340 cases of complex nephrolithotomy were retrospectively analyzed. Results Postoperative B-ultrasound or abdominal plain film examination, 34 cases of residual stones, accounting for 89% of the rate of stone. There were 8 cases of intraoperative hemorrhage after surgery, including 2 cases of intraoperative hemostasis, 2 cases of hemorrhage after operation, 1 case of hemorrhage after operation, and 1 case of hemorrhage after operation. . Renal resection rate of 8.8% (30/340). Conclusion Renal sinusopelvic incision or combined with the lower part of the kidney posterior cut stone, less bleeding, easy to get rid of stones, small renal effects, is one of the ideal surgical treatment of complicated kidney stones.