【摘要】 目的 :总结不同术式治疗鹿角状肾结石的临床经验。方法 :对我院 1988～ 2 0 0 1年开放性手术治疗 10 9例鹿角状肾结石行回顾性分析。结果 :97例 (89.0 % )一次性取尽结石 ,术后 3例 (2 .8% )出血 ,2例 (1.8% )出现尿瘘。结论 :肾盂切开取石和肾后唇中下 1/3肾实质切开取石是治疗中、小鹿角状肾结石的较好术式 ,而镰刀状肾实质切开取石是治疗巨大鹿角状肾结石的理想术式。更多还原

【Abstract】 Objective: To evaluate therapeutic effects of open surgery for staghorn calculus. Methods: 109 staghorn calculi cases from 1988 to 2001 in our hospital were reviewed. Results: The stone-free rate was 89%. Hemorrhage occurred in two cases after operation and occupied 1.8% in 109 cases. Urinary fistula occurred in four cases and occupied 3.6% in 109 cases. Conclusion: Pyelolithotomy involving extended pyelolithotomy and middle-lower 1/3 of the posterior of renal nephrolithotomy is a good method as the treatment of borderline and partial staghorn calculi. Sickle-shaped nephrolithotomy is an ideal method to deal with complete staghorn calculi.更多还原