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肾结石外科的目的,不仅是完全移除结石,也要求尽量减少肾内动脉和肾实质的损伤。复杂的鹿角状或肾小盏结石,著者的意见是尽可能从扩大的肾盂肾盏造口处移除结石,残余的小盏结石则从最小的幅射形肾造口术中移除。为了完成非创伤性肾造口术,应该选择通过肾实质最短的途径,而且必需避免损伤肾内动脉。多普勒实时超声对手术时肾内动脉的定位,结合B型超声扫描定位结石所在,可以使肾造口术达到
The purpose of nephrolithotomy is not only to completely remove stones but also to minimize damage to the renal arteries and renal parenchyma. Complex antlers or calyx stones, the authors’ opinion, is to remove stones from the enlarged pyelostomy as far as possible, while remnant calculus is removed from the smallest radial renal ostomy. In order to complete a non-invasive nephrostomy, the shortest route through the renal parenchyma should be chosen, and the renal artery must be avoided. Doppler real-time ultrasound on intra-renal artery positioning, combined with B-mode ultrasound scan where the stone, you can make the kidney ostomy reached