低温阻断肾动静脉肾实质切开治疗肾鹿角形结石18例报告  

In situ hypothermia and occlusion of kidney pedicle in nephrolithotomy for renal staghorn calculi: Report of 18 cases

作　　者：谌惠明 谢社志 邓兵 龚著新 

机构地区：[1]湖南益阳卫校附属医院泌尿外科,413000

出　　处：《福建医药杂志》2006年第3期20-21,共2页Fujian Medical Journal

摘　　要：目的探讨原位低温阻断肾动静脉非萎缩性肾实质切开取石术治疗肾鹿角形结石的手术方法、效果及肾功能保存情况,以期减少术中出血,保护肾功能,降低肾切除率。方法本组18例18个肾脏均采用原位低温阻断肾动静脉非萎缩性切开肾实质取出结石,同时静脉注射肌苷2．0 g。结果肾脏血管阻断时间平均40 min (30～52 min);出血量平均150 ml(100～320 ml);肾实质切口4～6 cm;最大结石7．1 cm×4．6 cm×3．5 cm;手术时间平均110 min(75～120 min)。18例均获2月至2年随访,经尿常规、血BUN、Cr、B超、KUB检查,无术后并发症,无结石残留。结论原位低温阻断动静脉非萎缩性肾实质切开取石术治疗肾鹿角形结石具有操作方法简单、手术安全可靠、术后并发症少特点,并能较好保护肾功能。Objective To investigate nephrolithotomy for staghorn renal calculi with in situ hypothermia and occlusion of kidney pedicle. Methods In situ hypothermia and occlusion of kidney pedicle in nephrolithotomy were performed in 18 cases of renal staghorn calculi. Results All stone materials were removed in 18 cases. The kidney pedicle had been occluded for about 40 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.

关 键 词：低温 肾动脉 手术 肾鹿角形结石 

分 类 号：R699[医药卫生—泌尿科学]