常温下阻断肾蒂肾切开取石治疗复杂性铸型肾结石  

Treatment of complex renal molded calculi with nephrolithotomy by blockage of renal pedicle at normal temperature

作　　者：杨小晖[1] 刘涛[1] 王英宝[1] 马超龙[1] 

机构地区：[1]昆明医学院第一附属医院器官移植中心,650032

出　　处：《国际移植与血液净化杂志》2011年第5期36-38,共3页International Journal of Transplantation and Hemopurification

摘　　要：目的探讨常温下阻断肾蒂。肾实质切开取石治疗复杂性铸型肾结石的临床疗效。方法对20例复杂性铸型肾结石患者均采取常温下阻断。肾蒂肾实质或＋肾盂切开取石术。手术前、后检查包括腹部平片、静脉尿路造影、CT、B超、尿素氮、肌酐等项目并术后随访。结果20例患者均顺利完成取石，一次性取净结石17例，结石残余残留率为15％。手术时间80—100min，平均为90min，肾蒂阻断时间为20—30min，平均为25min；平均术中出血100ml，术后随访1-12个月，患肾功能恢复良好。结论本术式具有操作简单、安全、显露清晰，出血少，结石取净率高，对。肾功能影响小等优点。Objective To investigate the clinical effect of nephrolithotomy by blockage of renal pedicle at normal temperature in treating the complex renal molded calculi. Methods 20 cases with complex renal molded calculi who were treated with nephrolithotomy by Blockage of Renal Pedicle at Normal temperature. BUN, Cr, Type B ultrasonic, KUB, IVP, CT, etc were checked before and after the operation and in the follow-up period. Results All of the patients were operated successfully, 17 cases＇ Calculi were completely removed in one operation, The residual rate of Calculi was 15 %. The operative time （mean） was 80- 100 min （90 rain） ,The average blockage time of renal blood stream was 20-30 min（25 min）, the amount of hemorrhage （mean） was 50-150 mL （100 ml）, in first-twelve months after operation all patients＇ renal function recovered well. Conclusion This pmcedure is an ideal open surgery for complex renal stones, its advantages include simple, safe, clear operative field, less bleeding, high-clearance rate of stones and less damage of renal function.

关 键 词：复杂性肾结石 外科手术 

分 类 号：R699[医药卫生—泌尿科学]