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我们从1986年6月至1991年1月,改用手指压迫肾实质局部控制血运,行肾实质切开取石术26例,效果良好,兹报告如下:(一)临床资料本组男性20例,女性6例,年龄在20～66岁。结石数最多者7块,最大直径3.5cm。术中均未输血,手术时间均未超过2小时。(二)手术方法23例患者取侧卧位,另3例取仰卧位。取侧位者采用肾切口,取仰卧位者采用腹直肌外缘切口。切开腹壁后,打开肾周围脂肪囊时按结石所在部位决定肾周游离范围。患者如为侧卧位,术者站在患者背侧,第一助手站其腹侧。助手用右手拇指、食指及虎口环状钳压肾脏。手术者在肾脏较薄弱处切开肾实质取出结石,在缝合肾脏前,稍放松手指的钳夹力量,有出血点即可见到,给予肠线缝扎。常规缝合肾脏。仰卧者,取腹直肌外缘
We from June 1986 to January 1991, the use of finger compression of the renal parenchyma local control of blood supply, the line of renal parenchymal lithotomy performed in 26 cases, the effect is good, it is reported as follows: (A) Clinical data The group of 20 males , 6 females, aged 20 to 66 years old. The largest number of stones 7, the maximum diameter of 3.5cm. No intraoperative blood transfusion, surgery time did not exceed 2 hours. (B) surgical method 23 patients take the lateral position, the other three supine position. Take the side of the kidney incision, supine with the rectus abdominis incision. Open the abdominal wall, open the kidney when the fat capsule according to the site of the stones determine the free area of the kidney. Patients such as lateral position, the surgeon was standing on the patient’s back, the first assistant standing ventral. Assistant with the right thumb, index finger and ring clamp ring tiger pressure kidney. Surgery in the weaker kidney cut the renal parenchymal stone removed, before suturing the kidney, slightly relax the strength of the fingers of the clamp, bleeding points can be seen to give gut suture. Conventional suture kidney. Sit, take the rectus abdominis