摘要
目的探讨后腹腔镜下离断肾盂成形术的临床效果。方法采用后腹腔径路对8例确诊为肾盂输尿管连接部梗阻(UPJO)的患者行腹腔镜下离断肾盂成形术。结果8例手术均获成功,手术时间110~165min,平均130min;出血量30~90ml,平均55ml。术后住院7~15d,平均10d。术后有2例患者出现暂时性漏尿。术后随访3~6个月,肾积水较术前均有所好转,无再手术病例。结论后腹腔镜下离断肾盂成形术是治疗UPJO有效、安全、微创的治疗方法。
Objective To assess the feasibility and results of retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty in the treatment of ureteropelvic junction obstruction (UPJO). Methods Eight cases with UPJO underwent retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty. Results All the operations had successed. The mean operating time was 130 minutes (range from 110 to 165 ) ,the mean blood loss was 55 ml (range from 30 to 90) and the mean postoperative hospitalization days was 10 days( range from 7 to 15). No open conversions were required Radiographic assessment by intravenous urography 3 - 6 months after the procedure showed good results. Conclusion Retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty is a safe and effective way to treat the UPJO while providing a minimally invasive procedure.
出处
《中国临床保健杂志》
CAS
2008年第1期11-12,共2页
Chinese Journal of Clinical Healthcare
关键词
输尿管梗阻
腹腔镜检查
肾盂
腹膜后间隙
Ureteral obstruction
Laparoscopy
Kidney pelvis
Retroperitoneal space