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当肾实质变薄,肾盏肾盂扩张时,肾造口术并不困难。但是如果肾实质是厚的与/或肾盂肾盏系统又小则肾造口术有困难且伴有出血。肾常位于胁腹切口以上,要使肾造瘘管易于放置,就需要充分暴露和移动肾脏。这里介绍一种简单而不出血的肾造口术。 1根手术探针(图1),1根粗的缝合丝线,1条肾造口术的引流管备用。通过标准的胁腹切口,暴露肾与肾盂;并不需要完全暴露上极。手术探针是可屈曲的,按尺寸屈成三段以适应肾盂,下或中肾盏与肾实质的肾内通道。探针的顶端是纯的并不损伤肾内血管。
When the renal parenchyma thin, renal calyceal dilatation, renal ostomy is not difficult. However, if the renal parenchyma is thick and / or the renal pelvis calyx system is small then the renal ostomy has difficulty with bleeding. Kidney often located above the abdomen incision, to make the renal fistula tract easy to place, you need to fully expose and move the kidneys. Here is a simple, non-bleeding kidney ostomy. A surgical probe (Figure 1), a coarse suture silk, a renal ostomy drainage tube spare. Through the standard abetal incision, exposing the kidney and renal pelvis; do not need to fully expose the pole. Surgical probes are flexible, three-dimensionally curved to accommodate the intrarenal access to the renal pelvis, inferior or middle calyx, and the renal parenchyma. The tip of the probe is pure and does not damage the renal blood vessels.