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肾盂输尿管连接部梗阻手术治疗

Surgical management of ureteropelvic junction obstruction:Report of 32 cases
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摘要 目的 :探讨肾盂输尿管连接部 (UPJ)梗阻的手术治疗方法。方法 :采用离断性肾盂成形术治疗先天性肾盂输尿管连接部梗阻 32例 ,常规采用双J管作支架内引流。结果 :术后无感染、漏尿和再狭窄等并发症 ,患肾积水明显好转 ,吻合口通畅。结论 :离断性肾盂成形术是治疗肾盂输尿管连接部梗阻较有效的方法 ,术中使用双J管作支架有利于肾功能迅速恢复 ,减少术后吻合口再狭窄的发生 。 Objective:To evaluate the surgical management of ureteropelvic junction(UPJ) obstruction.Methods:Thirty-two cases of congenital UPJ obstruction were treated by Anderson-Hynes pyeloplasty.Double-J stents were used as internal stands and drainage.Results:All the obstructions were successfully relieved,hydronephrosis was greatly improved and no complications such as urinary infection,leakage of urine or restricture were noted at follow-up.Conclusions:Anderson-Hynes pyeloplasty is an efficient treatment for congenital obstruction of UPJ,and the use of double-J stent as internal stand and drainage can help recovery of kidney function,reduce the chance of UPJ restriction,and raise the rate of success.
作者 何祖龙 胡毅
出处 《蚌埠医学院学报》 CAS 2004年第6期518-519,共2页 Journal of Bengbu Medical College
关键词 肾盂输尿管连结部梗阻 离断性肾盂成形术 双J导管 ureteropelvic junction obstruction Anderson-Hynes pyeloplasty double-J stent
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