论文部分内容阅读
目的:探讨基层医院治疗复杂性鹿角形肾结石的手术治疗方式。方法:分析总结自2010至2015年到重庆市九龙坡区中西医结合医院就诊的53例复杂性鹿角形肾结石患者行肾窦内肾盂切开取石术8例,肾窦内肾盂切开加肾后下段间区切开取石术38例,肾后段切开取石术5例,肾实质切开取石术2例的临床资料。结果:53例均手术成功,术后康复顺利。随访47例,5例肾盏内残留小结石(<0.5 cm)。结论:基层医院治疗复杂性鹿角形肾结石以肾窦内肾盂切开加肾后下段间区切开取石术较为实用,具有操作简单,受设备条件限制少,对肾脏损伤小,恢复快,术后结石复发率低,疗效满意。
Objective: To explore the surgical treatment of complex antler kidney stones in primary hospitals. Methods: From 2010 to 2015, 53 cases of complicated antler deformity nephrolithiasis were treated in the hospital of Jiulongpo District, Chongqing with 8 cases of pyelolithotomy. Renal sinusotomy was performed in 7 cases After the next section of the area cut 38 cases of lithotomy, posterior segmental lithotomy in 5 cases, renal parenchymal lithotomy in 2 cases of clinical data. Results: All the 53 cases were operated successfully and recovered well after operation. Follow-up 47 cases, 5 cases of calculus residual calculus (<0.5 cm). Conclusions: The treatment of complex deer horn-shaped nephrolithiasis in the primary hospital is more practical in the intra-renal pyelotopectomy plus posterior segment lithotomy. It has the advantages of simple operation, less equipment restriction, less damage to the kidney and faster recovery Post-stone recurrence rate is low, the effect is satisfactory.