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我科1981年初～1985年底,肾切取石术后采用该缝合法应用临床28例,效果良好,现分析报告如下: 手术方法采用常规加肋间切口,裸露患肾后,依据X片所显示的结石部位,用针灸针从肾脏凸缘稍后刺向肾盂,以确定结石距肾表面距离以选择最佳肾切口取石。常温下用肠钳阻断肾蒂血循环。沿针灸针所指方向纵行切开肾实质直达肾盂。若有结石嵌入肾盏或肾盂粘膜,可用5号刀柄适当剥离或切开肾盏,取出结石,与X片核对形态及数目。反复冲洗后,用两端穿针之1号铬制线分别由肾盂边缘向外贯穿肾实质
Our department from early 1981 to the end of 1985, the nephrectomy stone after the clinical application of the suture method in 28 cases, the effect is good, the analysis is as follows: Surgical methods using conventional intercostal incision, bare kidney, according to X-ray showed Stones site, with acupuncture needle from the kidney after the lancet next to the renal pelvis to determine the distance from the surface of the kidney stone to select the best kidney incision stone. Intestine forceps block the pedicle blood circulation at room temperature. Acupuncture needle along the longitudinal direction of the cut straight kidney renal pelvis. If stones embedded in the calyx or renal pelvis mucosa, available No. 5 handle appropriate peel or incision of the calyces, remove the stones, and X-ray check the morphology and number. Repeatedly rinsed, with both ends of the No. 1 chrome thread through the renal pelvis edge outward through the parenchyma