肾盂肾后唇切开术治疗复杂性肾结石——附25例报告  

Incision of renal posterior lip and pyelolithotomy in the treatment of renal complex calculi （Report of 25 cases）

作　　者：丁方成[1] 黄金国[1] 陈翔[1] 徐刚[1] 王刚[1] 

机构地区：[1]安徽省马鞍山市人民医院泌尿科,243000

出　　处：《中国保健营养（临床医学学刊）》2008年第5期85-86,共2页China Health Care Nutrtion

摘　　要：目的：探讨复杂性肾结石的手术方法。方法：应用肾孟肾后唇联合切开取石术治疗巨大鹿角状结石或并发上、中、下盏多发结石25例。结果：全部病例顺利取出结石，术后肾功能恢复良好，残留小结石4例，其中3例经ESWL治愈，1例结石自然排净，并发漏尿1例。结论：肾孟肾后唇切开取石术具有显露充分、结石取净率高、出血少、损伤小等优点，是治疗复杂性肾结石的良好术式。Purpose ： To evaluate the surgical treatment of renal complex calculi . Method： A total of 25 patients, which have gaint staghorn calculi or/and multiple calculi in upper, middle and lower calyxes, were treated by incision of renal posterior lip and pyelolithotomy .Results： The calculi were removed uneventfully in all patients .Whose renal function recoveredfully. Small calculi were preserved in 4 cases, in which 3 cases were cured by ESWL and 1 case discharged by self, and urine leakage happened in 1 cases. Conclusion ： We conclude that this method needs no interdiction of renal pedicle, has advantages of excellent exposure, effect, less bleeding and less injury .

关 键 词：肾结石 外科手术 

分 类 号：R586[医药卫生—内分泌]