肾Brodel线小切口切开取石术治疗鹿角状结石疗效观察(附32例报告)  

Small incision of renal Brodel line of nephrolithotomy treatments stag-horn calculus(Report of 32 cases)

作　　者：耿德伟 岳惠卿 李更佐 王辉 王吉锋 符庆吉[2] 

机构地区：[1]阜新市中医医院中西医结合泌尿外科,辽宁阜新123000 [2]解放军第210医院泌尿外科

出　　处：《临床泌尿外科杂志》2008年第4期266-267,共2页Journal of Clinical Urology

摘　　要：目的：探讨肾Brodel线小切口切开取石术治疗肾鹿角状结石的疗效。方法：选择肾鹿角状结石患者32例，经患侧11肋间切口分离肾动脉，在低温下阻断肾动脉，取肾外侧缘Brodel线上切开肾实质至结石，取出结石。结果：低温下肾动脉阻断时间15～32min，平均19min；手术时间90～180min，平均140min；Brodel线切口长4～5cm；出血量平均120ml，有6例输血200-400ml；术后漏尿2例，结石残留3例，经相应处理治愈。术后随访3～12个月，肾功能恢复良好。结论：低温下阻断肾动脉作肾Brodel线小切口取石术是治疗肾鹿角状结石的理想术式，结石取净率高，并发症少，肾功能恢复良好。Objective：To disscus therapeutic methods of staghorn calculus by small incisional nephrolithotomy and hypothermic blockage of renal pedicle. Methods：32 patients underwent anatrophic nephrolithotomy by hypothermic blockage of renal pedicle for staghorn calculus. Before blockage of renal pedicle and small decision of the Brodel line,intact extracts stone,inosine was used intravenous injection. Results： Nephrolithotomy by hypothermic blockage of renal pedicle blocking time was 15-32 min. The amount of bleeding was 200-400 ml. The opration time was 90-180 min. The incision of the Brodel line was 4-5 cm. 3 patient have residual stones. 2 patient have leakage of urine. The renal function of 32 patient was stable or normal. Conclusion：Small incion of renal Brodel line of nephrolithotomy was an effective tretment for renal staghorn stones. The postoperative complication are few and the damage to renal function is little. The rate of stone taken clean high.

关 键 词：肾结石 肾实质切开取石术 手术治疗 

分 类 号：R692.4[医药卫生—泌尿科学]