【摘要】 目的 探讨肾盂输尿管连接部梗阻的手术治疗效果。方法 经手术治疗的肾盂输尿管连接部梗阻的患者155例,其中肾盂输尿管连接部狭窄引起梗阻的113例,输尿管肾盂高位连接13例,异位血管压迫者11例,纤维索带压迫者9例。手术方式包括:Anderson-Hynes离断式肾盂成形术102例次,肾盂Y-V成形术24例,异位血管切断肾盂复位11例,纤维索条松解术9例,肾切除术9例;经后腹腔镜Anderson-Hynes离断式肾盂成形术5例,肾切除术5例。结果 141例术后随诊3~60个月,134例效果良好;6例发生再狭窄,行二次手术后效果良好。结论 Anderson-Hynes离断式肾盂成形术是治疗肾盂输尿管连接部梗阻的首选手术方法,经后腹腔镜离断式肾盂成形术效果明确,值得推广。
【关键词】 肾盂输尿管连接部梗阻 外科手术 腹腔镜
Operative treatment for ureteropelvic junction obstruction
WANG Hui-jun,LIU Ke,JI Zhi-gang,et al.Department of Urology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China
[Abstract] Objective To summarize our experience in the treatment of ureteropelvic junction obstruction (UPJO).Methods 155 patients with UPJO were reviewed for etiology and outcome of surgery.Etiology findings included ureteropelvic junction stricture in 113 cases,high location of the junction in 13 cases,ectopic cross vessels in 11 cases,and fiber chords in 9 cases.A total of 165 cases of surgical procedures were conducted:Anderson-Hynes (113 cases),V-Y pelvioplasty (24 cases),ectopic cross vessel resection (11 cases),chords brisement (9 ca……
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