Anderson-Hynes离断式肾盂成形术治疗肾盂输尿管连接部狭窄  

Anderson-Hynes Dismembered Pyeloplasty for Ureteropelvic Junction Stricture

作　　者：张纪军[1] 

机构地区：[1]天津市人民医院泌尿外科,天津300121

出　　处：《实用临床医学（江西）》2006年第4期47-49,共3页Practical Clinical Medicine

摘　　要：目的：探讨肾盂输尿管连接部（UPJ）狭窄的手术治疗方法。方法：采用Anderson-Hynes离断式肾盂成形术治疗肾盂输尿管连接部（UPJ）狭窄36例。成人留置D-j管，患儿放外引流。结果；36例手术均获成功．肾盂积水好转，狭窄解除，吻合口通畅。随访6个月～2年．未出现吻合口再狭窄、肾积水加重等并发症。结论Anderson-Hynes离断式肾盂成形术是治疗肾盂输尿管连接部（UPJ）狭窄的首选术式。Objective： To study the therapeutic efficacy for ureteropelvic junction stricture. Methods： Between May,2000 and May, 2005, 36 patients with ureteropelvic junction stricture were treated,including 26 adults and 10 teenagers. Preoperative diagnosis were made by intravenous urography（IVU）, retrograde urography （RUG） or MRU. Anderson-Hynes pyeloplasty was required in all patients, including adults detained Double-J stent and teenagers detained external drainage. Results： Success rate of management was 100%. Stricture was relieved successfully in all patients. Hydronephrosis improved. All patients were followed-up for six months to 2 years. No complication was observed. Conclusion： Anderson-Hynes pyeloplasty is the first choice of treatment for ureteropelvic junction stricture.

关 键 词：肾积水 肾孟输尿管连接部梗阻 肾孟成形术 治疗 

分 类 号：R693.2[医药卫生—泌尿科学]