Improved joint rod pneumatic lithotripsy treatment of renal pelvis staghorn calculi cut.docVIP

 PAGE \* MERGEFORMAT 8 Improved joint rod pneumatic lithotripsy treatment of renal pelvis staghorn calculi cut [Abstract] Objective To investigate the improvement of the joint bar pneumatic lithotripsy in the treatment of renal pelvis staghorn calculi incision surgery and clinical application. Methods 7 patients with staghorn calculi were treated with pelvic incision, the incision intervention improved renal pelvis The pneumatic lithotripsy gravel bar will be within the pelvis and the calyceal stones removed. Results smooth operation in all cases, 3 months later IVU, 1 in case detection calyx about 1 cm residual small stones, no stones in the remaining patients residues, kidney development was normal. Conclusion staghorn open surgery, the incision through the pelvis, the use of modified rod pneumatic lithotripsy treatment, with damage, residual stone rate, quicker recovery, shorter hospital stay and less blood loss etc., is a safe and efficient way. [Keywords:] staghorn renal pelvis open bar improved lithotripsy October 2007 to March 2009 Qujiang District People’s Hospital, Shaoguan City, 7 cases of staghorn calculi in patients with surgical treatment, surgery incision in the pelvis alone also improved lithotripsy with the stone crushing rod technology out. are as follows. 1 Data and methods 1.1 General information on a total of 7 cases of this group of patients, 5 males and 2 females. Aged 36 to 63 years, mean 42 years. All patients had low back pain symptoms, duration of 1 to 4 years, an average of 2 years. IVU before surgery by diagnosed as patients with staghorn calculi, stone size 3.5 cm 4.2 cm ~ 4.0 cm 6.6 cm, of which 5 cases had renal pelvis obstruction and moderate effusion. 1.2 Methods to epidural anesthesia, according to IVU examination, understand the pelvis position, decided to take 11 or 12 intercostal oblique incision under the costal margin. Free kidney along the ureter, renal pelvis full free, exposed in dorsal pelvis, cut t