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目的:探讨肾实质切开治疗复杂性肾结石的效果。方法:采用静脉滴注肌苷2.0,指间阻断肾血流肾实质切开治疗复杂性肾结石30例。十二肋缘下切口,游离肾脏,沿Brodel氏线纵行切开肾实质全层,直视下取石,冲洗。用4-0肠线或可吸收缝合线间断缝合肾盂肾盏粘膜,1-0肠线或可吸收缝合线缝合肾实质全层。结果:28例结石一次取净,2例小结石残留,经ESWL(体外冲击波碎石)治愈,1例为肾盂钙化灶。结论:手指间阻断肾血流肾实质切开适合于肾内型肾盂鹿角形(铸形)结石和复杂性肾结石手术治疗。
Objective: To investigate the effect of renal parenchyma incision on complex renal calculus. Methods: Intravenous inosine 2.0 was used to intervene to block renal blood flow in renal parenchyma and to treat 30 cases of complex renal calculi. Twelve rib marginal incision, free kidneys, cut along the Brodel’s line of longitudinal parenchymal full-thickness, under direct vision stone, rinse. With 4-0 catgut or absorbable sutures intermittent suture the renal pelvis calyx mucosa, 1-0 gut or absorbable suture the whole parenchyma renal parenchyma. Results: Twenty-eight cases of stone were removed at one time, two cases of small residual stones were treated with ESWL (extracorporeal shock wave lithotripsy) and one case was calcification of renal pelvis. Conclusion: Interphalangeal blockage of renal blood flow in renal parenchyma incision is suitable for renal pelvic anthrone (cast) stone and complicated renal stone surgery.