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下肾盏输尿管吻合术只适于稀少病例,如果掌握它则是一个有用而有益的术式。作者虽仅做了两侧这种手术,但却都获得了满意效果。兹将手技介绍于下。手术操作1.肾的显露剖腰切口,逐层打开肾筋膜,小儿只作肋缘下横切开即可,因为是再次手术,肾周围组织高度粘连,剥离粘连组织、充分暴露肾脏是这种手术能否成功的先决条件。剥离被膜如果稍有疏忽则可能切入肾实质,还有可能损伤粘连着的邻近脏器,这是很危险的。为了避免这种情况,切开肌层时要避开上次手术的瘢痕组织,打开腹腔探查一下邻近脏器粘连情况。肾周围有高度粘连时要以剪刀锐性剥离,把肾前面的腹膜
Under the calyx ureter anastomosis only suitable for rare cases, if you master it is a useful and beneficial surgical procedures. Although the author did only on both sides of this operation, but have been satisfied with the results. Will hand technology introduced in the next. Surgical operation 1. Renal revealed split lumbar incision, open renal fascia layer by layer, children only under the costal incision can be cut, because it is reoperation, high adhesion around the kidney tissue, peel adhesions, fully exposed the kidneys is this A prerequisite for successful surgery. Peel the capsule if there is a slight oversight may cut into the renal parenchyma, there may damage the adhesion of adjacent organs, which is very dangerous. In order to avoid this situation, to cut the muscle layer to avoid the scar tissue of the last surgery, open the abdominal exploration of visceral adhesions. A high degree of adhesion around the kidney should be sharp scissors peel, the kidneys in front of the peritoneum