【摘要】 目的:探讨复杂性肾结石的手术方法。方法:采用肾窦内肾盂加肾后下段肾实质联合切开取石术治疗复杂性肾结石30例。结果:取出结石最大为4.0cm×3.5cm×1.4cm,最多的1例有结石38枚。术后复查B超或尿路平片(KUB),3例有肾内残余结石(10%),直径均小于0.8cm。结论:本术式具有手术操作简单、取石方便、出血少、结石一次性取净率高等优点,是处理复杂性肾结石的良好术式。更多还原

【Abstract】 Objective:To explore the surgical treatment of complexity renal lithiasis.Methods:30 cases with complexity renal lithiasis were treated with an incision of the intrarenal sinus and postrenal low segment.Results:The biggest kindey stone which was taken out from a patient is size of 4.0cm×3.5cm×1.4cm.The numbers of renal calculus amount to 38 in 1 case.Postoperative examination by using B ultrasound and KUB revealed 3 cases of residual stones, which diameters are less than 0.8 cm.Conclusion:The modus operandi has advantages of simpler procedure,easy calculus removed, less bleeding,and high clearance rate.This method is suit for treating complexity nephrolithiasis.[更多还原