作者：田凯 柳其中 王宜林 龚同欣 赵平宇 孙强

【摘要】目的：评价腹腔镜手术治疗肾盂输尿管移行处狭窄（UPJ）的临床效果。方法：经腹腔路径对19例确诊的UPJ行腹腔镜离断式肾盂输尿管成形术，男12例，女7例，肾脏积水重度6例，中度8例，轻度5例，IVU１3例显影良好，6例显影延迟。结果：19例手术全部成功，手术时间110～240min，平均150min，术中出血５0～100m1，术后住院6～10d，平均7８d，无严重并发症发生，随访3～15个月，肾积水程度均减轻，IVU无吻合口狭窄。结论：腹腔镜下离断式肾盂输尿管成形术治疗UPＪ有效、可行，可以替代开放手术。

    【关键词】肾盂输尿管移行处狭窄；腹腔镜

    Laparoscopic pyeloplasty for treatment of ureteropelvic junction(UPJ) obstruction

       【Abstract】Ｏbjective:To evaluate clinical efficiency of laparoscopic pyeloplasty for the treatment of ureteropelvic junction obstruction.Methods:19 patients with ureteropelvic junction obstruction were underwent laparoscopical pyetoptasty (12 male, 7 female).Results:All operations were performed successfully.The mean operative time was 150min (110 to 240 min).The blood loss was 50 to 100 ml and mean postoperative hospitalization time was 7.8 days (6 to 10 days).No severe complication occurred.Postoperative pradiographic assessment by intravenous urography  after 3 to 15 months showed good results.The hydronephrosis relieved and no ureteral stricture occurred.Conclusions:Laparoscopic pyeloplasty is an effective and safe way in treatin……