张建柱, 李庆文. 复杂性肾结石46例的开放性手术治疗[J]. 蚌埠医学院学报, 2012, 36(8): 964-966.
    引用本文: 张建柱, 李庆文. 复杂性肾结石46例的开放性手术治疗[J]. 蚌埠医学院学报, 2012, 36(8): 964-966.
    ZHANG Jian-zhu, LI Qing-wen. Clinical analysis of 46 cases with complexity renal calculi by open surgery method[J]. Journal of Bengbu Medical College, 2012, 36(8): 964-966.
    Citation: ZHANG Jian-zhu, LI Qing-wen. Clinical analysis of 46 cases with complexity renal calculi by open surgery method[J]. Journal of Bengbu Medical College, 2012, 36(8): 964-966.

    复杂性肾结石46例的开放性手术治疗

    Clinical analysis of 46 cases with complexity renal calculi by open surgery method

    • 摘要: 目的:观察开放性手术治疗复杂性肾结石的临床疗效。方法:对46例复杂性肾结石患者进行开放手术治疗。其中行肾窦内肾盂切开取石术21例,肾盂加肾实质切开取石术9例,肾实质切开取石术16例。结果:平均手术时间135 min,术后肾功能不同程度改善;结石一次取净42例,残留结石4例,经体外冲击波碎石术后治愈;术后继发出血2例,尿路感染5例,漏尿2例。术后随诊3~36个月,彩色多普勒超声探查患肾局部缺血萎缩2例,出现肾血管性高血压1例。结论:开放性手术仍是治疗复杂性肾结石的一种安全、有效方法。

       

      Abstract: Objective:To analyse the efficacy of the open surgery on complexity renal calculi.Methods:The clinical open surgery data of 46 cases with complexity renal calculi were analysed.Twenty-one cases were operated by pelvis incision of renal sinus,renal pelvis combined with renal incision in 9 cases,and renal incision in 16 cases.Results:Average operation time was 135 minutes and renal functions were improved in varying degrees post-operation.The calculi were completely removed in 42 cases,4 cases with residual stones were removed by extracorporeal shock wave lithotripsy,and postoperative bleeding in 2 cases,urinary tract infection in 5 cases and urine leakage in 2 case.All cases were followed up for 3 to 36 months.Two cases with partial renal blood insufficiency and atrophy and 1 case with renovascular hypertension were detected by color Doppler ultrasound scanning.Conclusions:Open surgery is a safe and effective surgical method for treatment complexity renal calculi,and reasonable operation mode is a key for improving the effects of complexity renal calculi.

       

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