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目的 :探讨肾窦内肾盂加肾后段间区切开取石术治疗鹿角形肾结石。方法 :应用本法治疗鹿角形肾结石76例。结果 :本组右肾结石 4 5例 ,左肾结石 2 7例 ,双肾结石 4例。均为多发性鹿角形肾结石 ,直径 >3.0cm。手术时间 6 0～ 15 0min ,术中一般输血 2 0 0～ 30 0ml。术后血尿 3d内转清 ,3例持续 7d ,1例持续血尿 14d ,1例因血尿量大超过 2周再次手术止血。结论 :肾窦内肾盂加肾后段间区切开取石术具有术中出血少 ,肾集合系统破坏小 ,肾功能受损轻等优点 ,但操作难度大 ,术中应认真仔细操作 ,对于多发性结石应使用各种方法力争取净结石 ,避免小结石残留
Objective: To investigate the treatment of deer horn - shaped kidney stones by intraarterial nephrolithotomy plus posterior segment lithotomy in the renal pelvis. Methods: 76 cases of antler kidney stones were treated with this method. Results: There were 45 cases of right kidney stones, 27 cases of left kidney stones and 4 cases of double kidney stones. Are multiple deer-shaped kidney stones, diameter> 3.0cm. Surgery time 6 0 ~ 150min, intraoperative blood transfusion 200 ~ 30 0ml. Postoperative hematuria 3d clear, 3 cases continued for 7 days, 1 case of continuous hematuria 14d, 1 case of hematuria for more than 2 weeks again surgery to stop bleeding. Conclusion: Intrarenal renal pelvis plus renal posterior segmental area lithotomy has the advantages of less intraoperative bleeding, less destruction of the renal collecting system, impaired renal function, but difficult to operate, the operation should be carefully and carefully, for multiple Sexual stones should use a variety of methods and strive to clean stones, to avoid small residual stones