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分别采用原位切口低温灌注、静脉滴注肌苷及手指间断阻断等3种方法在肾蒂阻断肾血流作肾实质切开取石术治疗肾实质厚度>1cm的复杂性肾结石共127例,结果肾血流阻断时间均<77min,对患肾功能均无明显影响,其中以静脉滴注肌苷阻断肾血流的方法最好。认为单纯静脉滴注肌苷阻断肾血流的方法简单,对患者生理干挠小,术后并发症少,是术中阻断肾血流、保护肾功能的良好方法。并就如何缩短肾缺血时间进行了探讨。
Three methods of in situ incision hypothermia perfusion, intravenous infusion of inosine and intermittent finger occlusion were used to treat the complicated renal calculi with renal parenchyma> 1cm in the renal pedicle block renal blood flow for renal parenchyma Cases, the results of renal blood flow blocking time <77min, no significant effect on renal function, in which intravenous inosine blocking renal blood flow is best. That the simple intravenous infusion of inosine blocking renal blood flow is simple, small patient physiotherapy, less postoperative complications, is an intraoperative blocking renal blood flow, a good way to protect renal function. And how to shorten the time of renal ischemia was discussed.