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我院1980年～1985年共进行复杂的肾结石手术30例,全部在阻断肾血流后进行。分三组采用三种不同的保护肾功能方法全部获得良好的临床结果。临床资料男性9例,女性21例;年龄17～45岁;左肾18例,右肾12例,静脉肾盂造影均有不同程度的肾盂积水;24例经膀胱镜逆行输尿管插管不能插入肾盂;血清尿素氮7例偏高,23例正常。经肾实质切开取石17例,肾下极部分切除取石13例;取出结石最多112枚,最少的7枚,每例病人均取出一枚大型的鹿角型结石。阻断肾血流的时间最短45分钟,最长108分钟。采用经肾动脉灌注冷冻溶液6例,肾周敷冰泥降温10例,经肌苷保护的热缺血手术14例。30例均在术后10～15天经造
Our hospital from 1980 to 1985, a total of 30 cases of nephrolithotomy, all in the blocking of renal blood flow. Divided three groups using three different methods of protecting renal function all get good clinical results. Clinical data of 9 males and 21 females; aged 17 to 45 years old; 18 cases of left kidney, 12 cases of right kidney, intravenous pyelography have varying degrees of hydronephrosis; 24 cases of retrograde ureteroscopic cystoscopy can not be inserted into the renal pelvis Serum urea nitrogen was higher in 7 cases and normal in 23 cases. 17 cases of stone removal by the renal parenchyma, 13 cases of removal of the most part of the kidney and 13 cases of stone removal; at the most, 7 cases were removed, and at least 7 cases of each type of stone were removed. The shortest 45 minutes of blocking renal blood flow, the longest 108 minutes. The renal artery perfusion solution in 6 cases, peritoneal cooling of ice cream in 10 cases, 14 cases of inosine-protected warm ischemia surgery. 30 cases were 10 to 15 days after the operation