体外肾脏手术15例的初步经验

THE PRELIMINARY EXPERIENCE IN 15 EXTRACORPOREAL RENAL OPERATIONS

本文报道体外肾脏手术15例,其中肾血管整形术6例,肾实质切开取石加肾盂内引流术7例,选择性肾段切除1例,肾实质切开取石加肾血管整形术1例。其中13例术后肾功能良好,1例与术前相仿,1例术前肾功能较差,术后一年余因反复感染肾功能丧失而作肾切除。木文对体外肾脏手术的指征与禁忌证以及手术中的主要技术问题进行了讨论。

Since 1974,we have performed 15 extracorporeal renal operations,including renal arterioplasty 6 times,lithonephrotomy plus internal drainage of renal pelvis 7 times,selective segmental resection and lithonephrotomy plus angioplasty 1 each.Renal functions were improved in 13 cases,unchanged in 1 and deteriorated in another,in the latter case the kidney was resected afterwards.The indications of extracorporeal renal operation and surgical technics for different diseases are discussed.