肾下极切开的肾窦内肾盂肾盏取石术  

The Treatment of Renal Stag-horn Calculus by Lower Pole Incision Pyelocalycolithotomy

作　　者：许汉标[1] 晏继银[1] 顿金庚[2] 张东江[1] 邓锦标[1] 蔡华戈[1] 何峰[1] 

机构地区：[1]广东省惠州市人民医院泌尿外科,广东惠州516002 [2]中南大学湘雅医院泌尿外科

出　　处：《中国医师杂志》2004年第7期905-906,共2页Journal of Chinese Physician

摘　　要：目的　探讨肾下极切开的肾窦内肾盂肾盏切开取石术治疗复杂性鹿角状肾结石的疗效。方法　对 13例巨大鹿角形肾结石患者行肾下极切开的肾窦内肾盂肾盏切开取石术的临床资料进行分析总结。结果　术中不阻断肾蒂血流 ,手术平均时间14 0min ,术中平均出血 2 2 0ml,取出最大结石 7 2cm× 4 1cm× 3 5cm ,结石最多 1例达 3 5枚 ,12例获随访 ,术后 1个月复查KUB +IVP未见结石残留。结论　该术式操作简单 ,出血少 ,取石干净 ,对肾功能影响小 ,是治疗巨大鹿角形肾结石较理想的手术方式之一。Objective To evaluate the efficacy of lower pole incision pyelocalycolithotomy for the removal of complex stag-horn renal calculi. Methods The clinical data of 13 patients with complex stag-horn renal calculi underwent lower pole incision pyelocalycolithotomy were retrospectively analyzed. Results The renal pedicel blood flow did not be interrupted during operation. The mean operative time was 140 minutes, and the mean amount of blood loss during operation was 220ml. The size of the biggest removed stone was 7 2cm×4 1cm×3 5cm, and in one case the number of the removed stones amounted to 35 pieces. KUB plus IVP examination did not reveal the residual renal stone in all cases one month after operation. Conclusion The lower pole incision pyelocalycodithotomy have the advantages of simplicity, less bleeding,complete removal of calculus and preservation of renal function. It is one of effective operative procedures to treat big stag-horn renal calculi.

关 键 词：肾下极切开术 肾窦 肾盂 肾盏 取石手术 泌尿外科 

分 类 号：R699[医药卫生—泌尿科学]