论文部分内容阅读
本文报告采用肾盂输尿管下肾盏切开成形术治疗复杂的肾结石共12例。手术时不阻断肾血流者先褥式缝扎止血,再切开肾下极实质;阻断肾血流者宜先行实质创缘缝扎止血,恢复肾血流后再从容取石可缩短肾缺血时间。8例术后3～6个月排泄性尿路造影显示出良好低位引流,积水减轻,肾功能改善,无一例发生吻合部狭窄。复杂的肾结石,以及合并有肾盂输尿管联合部狭窄病例为本手术的适应证。
This article reports the use of ureteropelvic incision under the treatment of complex renal stones in 12 cases. Surgery does not block the renal blood flow in the first mattress suture to stop bleeding, and then cut the subcutaneous very essence; block the renal blood flow should be the first line to create a real wound suture to stop bleeding, restore the renal blood flow and then calm stone can shorten the kidney Ischemic time. 8 cases of 3 to 6 months after the urinary tract urinary tract drainage showed a good low drainage, hydrocephalus reduce renal function improved, no case of anastomotic stenosis occurred. Complex kidney stones, as well as combined with ureteropelvic junction stenosis cases indications for the operation.