[高血压医学论文] 董国勤,傅 强,张 克,蔡志康,王 忠 【摘要】 目的 介绍使用Foley’s切口的方法治疗输尿管上段结石的体会。方法 输尿管上段结石30例,经腰部切口,长约5~8cm,皮肤切开后,用小S拉钩将腹外斜肌、腹内斜肌、腰背筋膜和背阔肌牵拉开,在腰大肌的前方找到输尿管与结石,取出结石后放置双-J导管。结果 30例中29例结石一次取尽,残石率为0,同时处理输尿管息肉7例,输尿管狭窄1例。失败1例为术中结石上滑到肾脏,放置双-J导管后用体外震波碎石(ESWL)处理。结论 Foley’s切口具有切口小、损伤轻、病人恢复快、结石清除率高和同时能处理病变输尿管等优点。 【关键词】 Foley’s切口;输尿管;上段结石 【Abstract】 Objective To introduce a technique for remove the upper ureter stone with Foley’s musclesplitting incision.Methods 30 cases of upper ureter stone were operated by waist incision with 5~8cm length.The ureter were exposed by separating latissimus dorsi muscle,external oblique muscle of abdomen,internal oblique muscle of abdomen,transverse muscle of ab……