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本文报告三组肾不同切口对肾功能损害的实验观察及4例离体肾手术治疗复杂肾结石的手术方法和结果。实验及临床资料提示:肾窦内肾盂切口具有创伤小、出血少、能量大限度地取出结石及对肾功能无损害等优点。同时介绍了离体肾窦内肾盂切开取石术后 T 形管引流的应用,认为采用此法术后便于观察移植肾功能,有利于肾盂的冲洗和引流。
This article reports three groups of renal incision on renal dysfunction in experimental observation and 4 cases of ex vivo renal surgery for the treatment of complex renal stone surgery methods and results. Experimental and clinical data suggest that the renal pelvis incision with trauma, less bleeding, the energy to remove the stones and the advantages of renal function without damage and so on. At the same time, the application of T-tube drainage after pyelolithotomy in ex vivo renal sinus was introduced. It is considered that the use of this technique is convenient for observing the renal function of the renal pelvis and facilitating the flushing and drainage of the renal pelvis.