【摘要】 目的提高手术治疗巨大鹿角形肾结石的疗效。方法采用肾盂背侧肾实质切开取石术治疗巨大鹿角形肾结石患者78例。结果全部病例均顺利取出结石。平均手术时间110min,术中需输血者25例,平均输血量400ml,无术后继发出血或感染等并发症。40例术后2个月~1年内复查B超或X线,6例残留小结石,直径均<0.6cm。结论肾盂背侧肾实质切开取石术具有显露充分,操作简便、安全,结石取净率高,损伤少等优点。更多还原

【Abstract】 Objective To evaluate intrasinusal pyelolithotomy for giant staghorn calculi. Methods 78 patients with giant staghorn calculi were treated by incision of renal posterior lip and pyelolithotomy. Results The calculi were removed uneventfully in all patients with the average operation time 110 minutes.Blood transfusion during the procedure was required in 25 patients. B ultrasound or X radiate revealed residnal calculus in 6 patients, the diameters were less than 0.6cm. Conclusion This open method has advantages such as excellent exposure,easy and safe,effective and less injury.更多还原