肾蒂阻断低温下肾实质切开取石术治疗复杂性肾结石  

In situ Hypothermia and Occlusion of Kidney Pedicle in Nephrolithotomy for Complicated Renal Calculi

作　　者：杨发武 魏杰[1] 潘中义[1] 曹朴[1] 

机构地区：[1]安徽省濉溪县人民医院泌尿外科,安徽濉溪235100

出　　处：《医学临床研究》2005年第10期1411-1413,共3页Journal of Clinical Research

摘　　要：[目的]探讨肾蒂阻断低温下肾实质切开取石术治疗复杂性肾结石的疗效.[方法]对42例复杂性肾内型肾盂结石患者,采用原位低温阻断肾动静脉,Brdel线或放射状切开肾实质取出结石.[结果]38例(90.5%)一次取净结石,4例(9.5%)有小结石残留,经体外冲击波碎石(ESWL)后痊愈.肾蒂阻断30～100 min.术后无严重并发症.肾功能无明显损害.[结论]原位低温阻断肾蒂肾实质切开取石术是治疗复杂性肾结石安全、有效的方法.[Objective]To investigate nephrolithotomy for complicated staghorn renal calculi with in situ hypothermia and occlusion of kidney pediclc. [Methods]In situ hypothermia and occlusion of kidney pedicle in nephrolithotomy were performed in 42 cases of complicated renal calculi with intrarenal pelvis . The renal parenchyma following the Br？ del＇s line or with radial incision was dissected and the stones were removed. [Results]All stone materials were removed in 38 cases（90.5%）. 4 cases（9.5%） had residual stones treated with ESWL. The kidney pedicle had been occluded for about 30 to 100 minutes. The patients were followed up without any serious complications and renal damage. [Conclusion]In situ hypothermia and occlusion of kidney pedicle in nephrolithotomy for complicated staghorn renal calculi are effective , safe and reliable operative procedures.

关 键 词：肾结石/外科学 肾 低温 

分 类 号：R692.4[医药卫生—泌尿科学]