摘要
目的：探讨肾盂输尿管连接处梗阻的诊治经验.方法：本组48例中,26例采用离断性肾盂成形术（Anderson-Hynes术）,2例行肾切除,20例行非离断性肾盂成形术（其中9例行V-Y肾盂成形术,6例单纯粘连带切断松解术,5例粘连处松解加肾盂裁剪）.结果：本组中40例随访3个月～2a,包括非离断性肾盂成形术16例,其中10例治愈（62.5%）,4例无效,2例加重;离断性肾盂成形术24例,其中21例治愈（87.5%）,3例加重.两种手术方法的疗效比较有显著性差异（P＜0.01）.结论：离断性肾盂成形术是治疗肾盂输尿管连接处梗阻的首选术式.
Objective： To investigate the surgical method of ureteropelvic junction obstmction. Methods： 48 cases with ureteropelvic junction obstruction were respectively treated by dismembered （Anderson Hynes） pyeloplasty performed on 26 cases, nephrectomy on 2, and continuity pyeloplasty on 20, among which 9 patients received V - Y pyeloplasty, 6 division of aberrant vessels, 5 pelvioureterolysis and pyelo - clip. Results： 40 patients were followed up for 3 months to 2 years, out of 16 cases treated with continuity pyeloplasty, 10 cases were cured （62.5%）, 4 failed, and 2 worsened. However, in the dismembered pyeloplasty group, 21 cases （87.5%） were cured, 3 failed, no worsened. The X^2 - test shows significant difference （P 〈 0.01）. Conclusion： Anderson - Hynes Pelvioplasty is the first choice for treatment of ureteropelvic junction stricture.
出处
《解剖与临床》
2006年第3期182-184,共3页
Anatomy and Clinics
