马蹄肾肾积水患者的微创手术方式探讨  

Evaluation of the Effect of Laparoscopic Approaches on Horseshoe Kidney with Hydronephrosis

作　　者：王金[1] 金讯波[1] 蒋绍博[1] 夏庆华[1] 孟慧林[1] 熊晖[1] 

机构地区：[1]山东大学附属省立医院泌尿微创中心,山东济南250014

出　　处：《泌尿外科杂志（电子版）》2011年第1期14-17,共4页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的马蹄肾肾积水患者的手术方式探讨。方法对7例马蹄肾肾积水患者均行腹腔镜峡部切断并患侧肾脏旋转复位固定术,其中1例加行离断式肾盂成形术。结果 7例手术均获成功,其中加行离断式肾盂成形术患者手术时间180分钟,术中出血量60 ml,余6例平均手术时间为90分钟,术中出血量为30 ml。术后5～7天出院。随访3～30个月,无术中及术后并发症的发生。结论腹腔镜峡部切除并肾脏复位固定术视肾积水情况加行肾盂成形术为马蹄肾肾积水患者的微创治疗最佳手术方式选择。Objective To evaluate the effect of treatmet of horseshoe kidney with hydronephrosis by different laparoscopic approaches.Methods7 cases underwent laparoscpic isthmectomy and nephropexy,1 case with additional desmembered pyeloplasty.ResultsThe operations of all the cases were successful.In the case with additional desmembered pyeloplasty,the operative time was 180 minutes and the estimated blood loss was 60 ml.In the other 6 cases,the mean operative time was 90 minutes and the mean estimated blood loss was 30 ml.The postoperation hospital stay was 5~7 days.The patients were followed up for 3~30 months.There were no intraoperative or postoperative complications.ConclusionsLaparoscpic isthmectomy and nephropexy,with additional pyeloplasty if nessary,is the best surgical approach on the treatment of horseshoe kidney with hydronephrosis.

关 键 词：马蹄肾 肾积水 腹腔镜 肾盂成形术 峡部切断 肾脏固定术 

分 类 号：R699[医药卫生—泌尿科学]