肾窦内肾盂加肾后唇联合切开治疗巨大鹿角形结石  

Intrasinus Pyelotomy and Excision of Retrolabium for Stag Horn Calculus

作　　者：刘学周[1] 

机构地区：[1]河南省人民医院,郑州市450003

出　　处：《医药论坛杂志》2006年第6期3-4,共2页Journal of Medical Forum

摘　　要：目的探讨肾窦内肾孟加肾后唇联合切开术治疗巨大鹿角形结石的安全性及疗效。方法巨大鹿角彤肾结石患者23例，单侧21例，双侧2例。惠肾肾窦质均无明显萎缩，肾盂均为肾内型，肾功能均正常，惠肾均施行肾窦内肾盂加肾后唇联合切开术。结果本组均在常温下手术，23例25侧患肾均一次取净结石，术中未阻断肾蒂。术中及术后无严重并发症发生。平均手术时间为125min，平均失血量为150ml。术后4～6周拔除双J管。结论肾窦内肾孟加肾后唇联合切开取石术适合肾脏巨大鹿角形结石的治疗，具有操作简单、易掌握、取石容易、出血少、肾功能受损轻等优点。Objective To evaluate the therapeutic effect of intrasinus pyelotomy and excision of retrolabium for stag horn calculus. Methods 23 cases of stag horn calculus, including unilateral in 21 cases and bilateral in 2 cases, underwent intrasinus pyelotomy and excision of retroladiuIn. All cases had normal renal function and no renal atrophy was found. Results Calculus was removed under room temperature in all 23 cases （25 kidneys） without renal pedicle block. Mean operative time was 125min with a mean blood loss of 150ml. The double ＂ J＂tube was removed 4 to 6 weeks postoperatively. Conclusion Intrasinus pyelotomy and excision of retrolabium is an optimal approach for stag horn calculus with simple mannuver,high success rate and minimal blood loss.

关 键 词：肾结石 肾窦内肾盂加肾后唇联合切开术 

分 类 号：R692.4[医药卫生—泌尿科学]