先天性马蹄肾几种术式临床应用的比较(附39例报告)  

Comparision of clinical application of different surgical approach of inborn horseshoe kidney(report of 39 cases)

作　　者：邱明星[1] 王东[1] 邹建华[1] 龚百生[1] 陈照祥[1] 潘慈康[1] 

机构地区：[1]四川省人民医院泌尿外科,四川成都610072

出　　处：《现代泌尿外科杂志》2007年第2期85-86,共2页Journal of Modern Urology

摘　　要：目的探讨先天性马蹄肾的手术治疗,并比较三种手术入路的优、缺点和适应证。方法我院从1960-2003年共手术治疗马蹄肾39例。其中经腰部腹膜外切口手术9例、腹部入路手术13例、经下腹部入路手术19例。结果所有患者均施行峡部切除术。三种手术入路相比,经下腹部径路双肾暴露好,损伤小,手术并发症少(10%),手术时间较短[(178±24.1)min],住院时间短[(10±1.4)d]。结论经下腹径路切口较优于其他两种径路,可用于有任何并发症的马蹄肾的手术治疗。Objective To investigate the surgical treatment of horseshoe kidney and compare the advantage, disadvantage and the indications of 3 approaches. Methods From 1960 to 2003, 39 patients with horseshse kidney were operated in our hospital. Of them 9 cases were treated by lion approach, 13 by upper transperitoneal approach and 19 by lower transperitoneal approach. Results Division of isthmus was performed in all cases. Compared with the other two approaches, the lower transperitoneal one had better exposure, less trauma, less complication rate （10%）, shorter operative time [（178 ± 24.1）mini and shorter postoperative hospital stay [（10±1.4）d]. Conclusion Lower transperitoneal approach has more advantages than the other two approaches and can be used in all patients with any complication of horseshoe kidney.

关 键 词：马蹄肾 峡部切断术 手术径路 

分 类 号：R692.13[医药卫生—泌尿科学]