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为降低复杂肾结石手术残石率,减轻肾脏损伤,自1992年12月,我们对30例复杂肾结石实施术中超声检查或纤维支气管镜直视下取石,取得了满意效果。1 资料与方法 使用日本Alocka SSD-256B型线阵实时超声仪(普通T形探头,频率为5MHz)和Olympu P_(10)纤维支气管镜。术前用福尔马林熏蒸B超探头和纤维支气管镜24小时;术中台下由B超室专业人员操纵机器,识别图像。根据肾结石部位,采取相应的手术切口,游离肾脏背侧,以灭菌石蜡油或生理盐水为耦合剂。术者持B超探头自肾下极至上
In order to reduce the residual stone rate of complicated nephrolithotomy and reduce the renal damage, we performed intraoperative sonography or direct bronchoscopic stone removal of 30 cases of complicated kidney stones since December 1992, and achieved satisfactory results. 1 Materials and Methods Japan Alocka SSD-256B line real-time ultrasound system (normal T-probe, frequency of 5MHz) and Olympu P_ (10) fiberoptic bronchoscopy. Preoperative use of formalin fumigation B-probe and fiberoptic bronchoscopy 24 hours; during surgery by the B super-chamber professionals to manipulate the machine to identify the image. According to the kidney stone site, take the appropriate surgical incision, free kidney dorsal to sterile paraffin oil or saline as the coupling agent. Surgery who hold the B-probe from the lower pole of the kidney