低温阻断肾动脉肾实质切开治疗复杂结石26例报告  

Anatrophic nephrolothotomy by hypothermic biockage of renal pedicle (Report of 25 cases)

作　　者：刘建军 丁得刚 王向阳 

机构地区：[1]河南省郑州市人民医院泌尿外科,450003

出　　处：《中国医药指南》2008年第15期59-60,共2页Guide of China Medicine

摘　　要：目的探讨低温阻断肾劝脉肾实质切开取石治疗复杂性肾结石的效果.方法术中预先分离出肾动脉,快速静脉滴注肌苷2.0g,肾周置4℃冰屑盐水,阻断肾动脉,切开肾实质及肾工、肾盏,直视下取出结石.结果本组26例平均手术时间为120min,平均失血量为100ml,肾实质切口3-5cm,一次取净结石为96.2%,22例获得6个月～3年随访,患肾功能恢复良好.经B超、KUB检查结石复发2例,体外冲击波碎石术治愈.结论低温阻断肾动脉肾实质切开取石术治疗复杂性肾结石具有操作简单、手术安全、取净率高、术后并发症少、肾功能保护好等优点.Objective To discuss therapeutic methods of complex kidney stones by anat rophic nephrolothotomy and hepothermic blockage of renal arteries.Methods 26 patients underwent anatrophic nephrolothotomy by hypothermic blockage of renal artery for large complex renal stones.Before blockage of renal artery and decision the Brodel line,2.0 inosine and was used intravenous injection.Results Renal arteries blocking time was 17-45 min and the amount of bleedinR was 100ml.The kidney incision3-5cm. The operation time was 120 min.22 patients were followed up regular visits for 5 months to 3 years.By Bultrasonic and KUB testing, the recurrences of renal calculus were discovered in the 2 cases.After the ESWL treatment,the 2 cases were checked by IVP to find a good recovery.The renal function of all patients was stable or normal.Conclusions Anatrophic nephrolothotomy by hypothermic blockage of renal artery was an effective treatment It has the advantage of simple,safe,high single time dearance rate, few postoperativec omplications and preservation of renal function.

关 键 词：肾结石 低温 肾实质切开术 肾功能 

分 类 号：R692.4[医药卫生—泌尿科学]