肾盂输尿管交界部梗阻的诊治体会(附115例报告)  

Experience of diagnosis and treatment of ureteropelvic junction obstruction (report of 115 cases)

作　　者：张锐强[1] 张玉石[1] 李汉忠[1] 

机构地区：[1]中国协和医科大学北京协和医院泌尿外科,北京100730

出　　处：《现代泌尿外科杂志》2005年第5期265-266,共2页Journal of Modern Urology

摘　　要：目的探讨肾盂输尿管连接部梗阻的病理学基础及治疗方法.方法报告115 例肾盂输尿管连接部梗阻的治疗,85例行Anderson-Hynes 肾盂成形术,20例行Y-V成形术,8例行松解术,2例行肾切除术.12例重度及巨大肾积水患者在肾盂成形术基础上加肾内翻折叠固定术,除肾切除外所有患者均放置支架管引流.结果 60例随访6个月～12年,均治愈.结论肾盂输尿管连接部梗阻的病理生理过程均由机械或动力因素所致,手术治疗效果良好.Objective To probe into the basic pathology and the best approach for ureteropelvic junction obstruction （UPJO）. Methods Of the 115 UPJO patients in the study, 85 received Anderson-Hynes pyeloplasty, 20, Y-V pyeloplasy, 8, loosen operation and 2, nephroectomy. 12 patients with giant and severe hydronephrosis were treated with pyeloplasty and an adjunctive nephroplication and nephropexy were performed at the same time, and ureteric stents for drainage were planted in all the patients. Results 60 cases were followed up for 6 months- 12 years. All these patients recovered complecely. Conclusion The basic pathological and physiological process of UPJO is due to the mechanical and dynamic factors. The best treatment is surgical operation.

关 键 词：输尿管肾盂连接部梗阻 肾积水 治疗 

分 类 号：R693.13[医药卫生—泌尿科学]