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感染性双侧巨大或分枝状肾结石,保守疗法只能使病变进展。本文报告了14例双侧广泛肾结石作一期同时肾结石切除的治疗。病例和方法:自1971至1981年所有双侧肾结石病例均作了双侧同时防衰性的肾结石摘除或在一次手术中作了对侧防衰的结石摘除术。女11例男3例,分别随访3至40个月平均12个月,年龄39至65岁平均49岁,凡作输尿管术者则除外,28个肾中8个(29％)先前曾作过≧1次手术。所有病例均系广泛双侧尿路结石,具疼痛和感染或肾功能恶化。每例均作了完整的术前代谢评价,包括先前排出或手术摘除结石的化学
Infectious bilateral huge or branched kidney stones, conservative treatment can only make the disease progress. This article reports the treatment of 14 cases of bilateral extensive kidney stones for the same period of kidney stones. Cases and Methods: All cases of bilateral kidney stones from 1971 to 1981 were treated both with bilateral anti-aging nephrolithotomy or contralateral side-effect stone removal in one operation. Female 11 cases of 3 males were followed up for an average of 12 months 3-40 months, aged 39 to 65 years old average 49 years of age, except for those who are ureters, 8 of 28 (29%) previously made ≧ 1 operation. All cases were extensive bilateral urinary calculi with pain and infection or worsening renal function. A complete preoperative metabolic evaluation was made in each case, including those previously discharged or surgically removed stones