后腹腔镜治疗肾盂输尿管连接部梗阻(附7例报道)  

Retroperitoneoscopic treatment of UPJ obstruction(report of 7 cases)

作　　者：郑江[1] 李东[1] 罗春华[1] 王刚[1] 

机构地区：[1]长江大学医学院附属医院泌尿外科,湖北荆州434000

出　　处：《现代泌尿外科杂志》2005年第3期154-155,共2页Journal of Modern Urology

摘　　要：目的 探讨肾盂输尿管连接部梗阻的发病机理及腹腔镜治疗方式的选择和效果.方法 对7例经过后腹腔镜手术的肾盂输尿管连接部梗阻病例进行回顾性分析.结果 7例中,根据发病机理不同,在后腹腔镜下1例行肾盂输尿管连接部梗阻周围压迫组织松解术,3例行Y-V成形术,3例行离断成形术.术后随访0.3～3年.结论 后腹腔镜治疗肾盂输尿管连接部梗阻创伤小、术后痛苦小、恢复快、住院时间短、疗效显著,可以作为肾盂输尿管连接部梗阻治疗的首选方法,并有希望成为新的金标准.Objective To evaluate the pathogenesis of UPJ obstruction and effecacy and choice of retroperitoneoscopy with the way for the treatment to treat UPJ obstruction. Methods Data of 7 cases with UPJ obstruction who underwent retroperitoneoscopy were analyzed retrospectively. Results In the 7 cases, according to the different pathogeny, 1 case under went pelvioureterolysis, 3 cases Y-V ureteropyelvioplasty, and 3 cases dismembered ureteropelvioplasty. Conclusion Retroperitoneoscopic pelvioureterolysis or ureteropyelvioplasty is a safe and effective way to treat UPJ obstruction with minimal invasion, quicker recovery, less suffering and complications. The procedure should be consided as the first choice to treat UPJ obstruction.

关 键 词：肾盂输尿管连接部梗阻 后腹腔镜 肾功能 肾盂组织 

分 类 号：R692.2[医药卫生—泌尿科学]