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在肾结石手术中偶有遇到肾盂肾盏撕裂,可因无法修补而作肾切除,本院创用取材腹膜修补肾盂2例获得成功。例1 施××,男,47岁,1971年8月6日因右肾结石住院。同月11日作肾盂切开取石术,取石过程中不慎撕碎肾盂肾盏,修补不成,即将肾盂碎缘修整后,取邻近腹膜一块,移植于肾盂肾盏的缺损部,同时作肾造瘘。术后23天拔除肾造瘘管,未发生尿漏,痊愈出院。术后6年随访结果:一般情况良好,4年前曾拍摄全尿路平片,未见结石复发。去年静脉肾盂造影显示肾功能良好,无肾盂积水。(图1,见插页2)
Occasionally encountered in renal calculus renal pelvis tear, can not be repaired because of the nephrectomy, the hospital created the peritoneal repair pelvic two cases of success. Example 1 Shi × ×, male, 47 years old, August 6, 1971 hospitalized for right kidney stones. On the 11th of the same month for pyelolithotomy, stone inadvertently tear the renal pelvis calyx during the stone removal, repair the renal pelvis rim edge, take a piece of the adjacent peritoneum, transplanted in the defect of the renal pelvis calyceal, while making renal fistula . Nephrostomy tube was removed 23 days after operation, no urine leakage occurred and he was discharged. After 6 years of follow-up results: The general situation is good, 4 years ago, the filming of the entire urinary tract plain film, no recurrence of stones. Last year, intravenous pyelography showed good renal function, no hydronephrosis. (Figure 1, see insert 2)