肾蒂

国人25例肾蒂的观测及临床意义

Observation and Clinical Signification About Renal Pedicle of 25 Chinese People

国人肾蒂淋巴系的研究

A study on lymphatic system of the renal pedicle in Chinese

方法双侧肾蒂夹闭40min后再灌注，制作大鼠IR模型。

Methods Rat model of renal IR was established with clamping both pedicles for 40 min followed by reperfusion .

肾蒂淋巴管结扎术和RPIS治疗术后复发性重症乳糜尿的疗效

Effect of ligation of renal lymphatic vessels and renal pelvis infusion sclerosis on recurrent severe chyluria : 46 cases observation

1例肾蒂阻断时间25min，余3例未完全阻断。

A renal pedicel blockage for 25 min was needed in 1 case and was not required in the remaining 3 cases .

后腹腔镜与开放手术行肾蒂淋巴管结扎治疗乳糜尿

Renal pedicle lymphatic disconnection for chyluria : retroperitoneoscopy vs open surgery

对照组只开腹，不夹闭肾蒂。

The Control group will only receive laparotomy without clamping renal pedicle .

后腹腔镜下肾蒂淋巴管剥脱术治疗乳糜尿临床探讨

Treatment of Chyluria with Denudation of Renal Pedicle Lymphatic Tube with Laparoscope

方法采用在后腹腔镜下行肾蒂周围淋巴管剥脱术治疗乳糜尿。

Methods The denudation of renal pedicle lymphatic tube with laparoscope was performed .

所有病例均未阻断肾蒂。

Renal pedicle of all cases were not blocked .

腹腔镜肾蒂淋巴管结扎术治疗乳糜尿三孔结扎法腹腔镜胆囊切除治疗体会

Experiences in Laparoscopic Ligation of Renal Lymphatic Vessels for the Treatment of Chyluria

肾蒂阻断低温下肾实质切开取石术治疗复杂性肾结石

In situ Hypothermia and Occlusion of Kidney Pedicle in Nephrolithotomy for Complicated Renal Calculi

微波组织凝固器在无阻断肾蒂肾部分切除术中的应用

Clinical application of microwave tissue coagulator in partial nephrectomy without blocking the renal hilum stalk

重症乳糜尿病人行后腹腔镜肾蒂淋巴管结扎术治疗的护理

Nursing care of patients with severe chyluria underwent renal pedicle lymphatic vessels ligature via pone laparoscope

评估肾蒂阻断时间、术后并发症及局部复发情况。

Intraoperative renal ischemia time , postoperative complications and incidence of postoperative local recurrence were evaluated .

结论传统开放性肾蒂淋巴管结扎术疗效相当满意。

Conclusions The curative effect of the renal pedicle lymphatic disconnection operation is satisfactory for chyluria .

目的：介绍腹腔镜肾切除术中单纯采用钛夹处理肾蒂的术式与经验。

Objective : To introduce the experience of disposing nephric vases with titanic clips during laparoscopic nephrectomy .

目的总结后腹腔镜肾蒂淋巴管剥离术治疗乳糜尿的经验。

Objective To report our experience in retroperitonescopic renal pedicle lymphatic disconnection for the management of chyluria .

目的探讨后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的手术方法和临床效果。

Evaluation of clinical effect of chyluria with opening surgery and retroperitoneal laparoscopic kidney pedicle lymphatic disconnection ;

术中阻断肾蒂血流时间直接影响残肾的生存质量。

Time of blocking blood flow of renal pedicle during operation could directly affects the survival quality of residual kidney .

不阻断肾蒂肾实质切开新术式治疗铸形肾结石（附17例报告）

Nephrolithotomy with no renal vascular occlusion : a new approach to the treatment of staghorn calculi ( Report of 17 cases )

结果48例手术均顺利完成，肾蒂阻断时间平均18min（12～26min）。

Results The procedure was successful in all 48 patients with the mean intraoperative renal ischemia time of 18 min ( 12-26 min ) .

永停法测定改性木质素磺酸盐中的亚硫酸盐结果：术中不阻断肾蒂血流，手术平均耗时156min，术中平均出血132ml，术后平均住院14.8d。

IODIMETRIC DETERMINATION OF BISULFITE IN MODIFIED LIGNOSULFONATES BY DEAD STOP END POINT TECHNIQUE Result : Don 't stop kidney end bleeding in operation .

1980～1995年对143例小肾盂内铸型结石采用不阻断肾蒂血流直接肾实质切开通过盏颈途径将结石取出，全部成功。

From 1980 to 1995 , nephrolithotomy with the renal pedicle unblocked was carried out for 143 cases of staghorn stone in kidneys with small pelvis .

术中发生脾脏损伤、难以控制的出血、肠道损伤、肾蒂血管损伤、胰腺损伤等并发症14例（3.7%）。

Intraopcrative complications occurred in14 cases ( 3.7 % ), consisting of splenic le-sion , critical bleeding , intestinal injury , renal hilar injury and pancreas injury , etc.

结论：后腹腔镜下肾蒂淋巴管结扎术治疗乳糜尿是一种安全，有效的治疗方法，具有创伤小，并发症少，住院时间短，恢复快等优点，值得临床推广。

Conclusions : Retroperitoneoscopic disconnection of renal pedical lymphatic for the treatment of chyluria is a safe , efficient method , with advantages of mini-invasion , rapid recovery , less complications and hospital stay , worth to be extended .

肾、带血管蒂肾上腺联合移植的实验研究

The research of combined transplantation of kidney and adrenal gland

目的：建立肾、带血管蒂肾上腺移植大鼠模型，探索肾、肾上腺联合移植对移植肾的免疫保护作用。

Objective : To explore the immunoprotecive effect of combined transplantation of kidney and adrenal gland on the transplanted kidney .

方法对不宜行体外冲击波碎石及其它开放性手术的46例肾结石患者，采用低温阻断肾蒂肾部分切除取石的外科手术治疗。

METHODS The partial nephrectomy with interruption of renal pedicle was performed in 46 patients with complex renal stone .

结果：8例为选择性栓塞，1例右肾动脉干栓塞失败，为肾蒂伤，1例行左肾动脉干栓塞。

Results : Selective renal artery embolization was performed in 8 cases . Right renal artery truncus embolization was performed in 1 case , which was failure on renal pedicle injury , left renal artery truncus embolization in 1 case .