论文部分内容阅读
目的:探讨肾巨大鹿角形结石的有效治疗方法。方法:分析总结36例巨大鹿角形肾结石患者经肾窦内肾盂、肾后下段间切开取石加输尿管镜下钬激光碎石的临床资料。结果:本组36例,均成功取石,平均手术时间120min,结石一次性取净31例(86%),残留结石5例(14%),直径<3mm。其中3例自行排出,余2例经药物排石治疗后排出。2例术中出血量约250mL,输血200～400mL。术中无需阻断肾蒂,术前肾功能不全者术后均逐渐恢复正常。结论:经肾窦内肾盂、肾后下段间切开加输尿管镜下钬激光碎石术治疗肾巨大鹿角形结石,手术视野清晰,能取净结石,可减少手术对肾实质的损伤,最大限度地保存患肾并可改善肾功能。手术安全有效,操作简单,损伤小,并发症少,残石率低,效果满意。
Objective: To explore the effective treatment of large antler calculus of kidney. Methods: The clinical data of 36 patients with huge deer horns kidney stones by renal pelvis and renal inferior posterior segment were retrospectively analyzed. Results: Totally 36 patients were successfully treated in this group. The average operation time was 120min. The stones were removed in one time in 31 cases (86%), residual stones in 5 cases (14%), and the diameter was less than 3mm. 3 cases of self-discharge, more than 2 cases discharged after the drug row of stones. 2 cases of blood loss of about 250mL, blood transfusion 200 ~ 400mL. No need to block the renal pedicle surgery, preoperative renal dysfunction were gradually returned to normal after surgery. Conclusion: The transrenal renal pelvis, the lower posterior segment of the ureteroscopic ureteroscopic holmium laser lithotripsy for the treatment of huge dendritic calculus of kidney, the operation clear vision, can take net stones, can reduce the operation of the renal parenchymal damage, to the maximum extent Save the kidney and improve renal function. Surgical safe and effective, simple operation, less damage, fewer complications, low residual stone, the effect is satisfactory.