肾动脉阻断肾后基段间区切开治疗复杂性肾结石

Nephrolithotomy at the posterior basal segment for complex nephritic calculi after transient interruption of the renal artery

目的 探讨复杂性鹿角状结石的手术方法。方法 采用低温下肾蒂阻断及肾后基段间区切开取石术治疗鹿角状结石2 2例。结果 平均出血量 12 0ml,2例 1wk后下床活动出现血尿 ,加强抗感染及卧床后尿液转清 ,术后常规肾盂放置“T”管 ,2例残存小结石 1年后自动排出。结论 本术式操作简单 ,取石干净 ,出血少 ,适合于肾内型肾盂、鹿角状结石并发肾盏多发性结石的治疗。

AIM To study the surgical treatment of complex nephritic calculi. METHODS The data of 22 cases treated with nephrolithotomy at the posterior basal segment for complex nephritic calculi hypothermia after transient interruption of the renal artery. RESULTS Average hemorrhage is 120 ml in operation. One week after operation humaturia appears in 2 cases, then we enhanced anti infection treatment and rest in bed, so that urine became clean. We usually dispose pipe of T type into the calyceal. 2 pyelolithotomy and residual little calculi were discharged by themselves in two cases one year after operation. CONCLUSIONS To conclude that this method of operation is simple and carrying out stones is clean, the hemorrhage is less, it is suitable for intrnreal staghorn, antler shape calculus and other complex pyelolithiasis with multiple calyceal calculi.