摘要
目的 :探讨诊治肾盂输尿管连接部 (UPJ)梗阻的新方法。方法 :先天性 UPJ梗阻患者 47例 ,术前诊断主要依靠电视下逆行肾盂造影和利尿性 B超检查。外科治疗主要采用自行设计的双叶舌状肾盂壁瓣肾盂成形术。结果 :B超和电视下逆行肾盂造影对 UPJ梗阻的确诊率分别为80 .2 %和 1 0 0 %。双叶舌状肾盂壁瓣肾盂成形术后吻合口更通畅 ,无狭窄或漏尿并发症。结论 :在UPJ梗阻的术前诊断中 ,电视下逆行肾盂造影明显优于 IVU。 B超检查仍不失为一种很好的方法。双叶舌状肾盂壁瓣肾盂成形术疗效满意。
Purpose:To investigate the new method of diagnosis and trearment for the obstruction of ureteropelvic junction(UPJ).Methods:From 1993 to June 1999,47 cases of obstruction of UPJ have been treated sugically with the diagnosis confirmed on histopathological studies.The preoperative diagnosis was usually made on videocast retrograde pyelography and ultrasonography.In surgical treatment,the double tongue-shaped flap type of pyeloplasty designed by us was specially undergone.Results:The accurate rate of ultrasonography and videocast retrograde pyelography was 80.2 %and 100%.There were no post operative complication such as constriction and uric leakage after the double tongue-shaped flap type of pyeloplasty.Conclusions:For preoperative diagnosis of obstruction of UPJ,ultrasonography was a better examination method.The double tongue-shaped flap type of pyeloplasty designed by us was considered as a satisfactory effect,less complication,and should be recommendable for clinical application.
出处
《临床泌尿外科杂志》
2000年第11期503-504,共2页
Journal of Clinical Urology
