Sreenevasan G
Ann R Coll Surg Engl. 1974 Jul;55(1):3-12.
Bilateral renal calculi were present in 114 (10.7%) of 1,070 cases of proved urinary calculus admitted to the Urological Department of the General Hospital, Kuala Lumpur, during the period November 1968-May 1973. The management of bilateral renal calculi is discussed with reference to the first 100 cases in this series. The introduction of renography has greatly facilitated the decision as to which kidney should be operated on first. The management of patients with and without uraemia is discussed and the use of the modified V and V-Y incisions for the removal of staghorn calculi is described. Complications and results are briefly reviewed.
1968年11月至1973年5月期间,吉隆坡总医院泌尿外科收治的1070例确诊尿路结石病例中,114例(10.7%)存在双侧肾结石。本文参照该系列中的前100例病例讨论了双侧肾结石的治疗。肾造影术的引入极大地有助于决定先对哪一侧肾脏进行手术。文中讨论了有和没有尿毒症患者的治疗方法,并描述了用于去除鹿角形结石的改良V形和V-Y形切口的使用。对并发症和治疗结果进行了简要回顾。