小儿后腹腔镜Anderson—Hynes肾盂成形术  

Retroperitoneal laparoscopic Anderson-Hynes pyeloplasty for UPJ obstruction in children

作　　者：周辉霞[1] 张旭[2] 李爽[1] 肖翠萍[1] 傅斌[2] 郎斌[2] 许凯[2] 张军[2] 王军[1] 戴世希[1] 

机构地区：[1]武汉市儿童医院泌尿外科,武汉430016 [2]华中科技大学同济医学院附属同济医院泌尿外科

出　　处：《中华小儿外科杂志》2008年第1期19-21,共3页Chinese Journal of Pediatric Surgery

基　　金：湖北省科技攻关重点项目（2007AA301845）

摘　　要：目的探讨d,JL后腹腔镜Anderson-Hynes术治疗小儿肾盂输尿管连接部梗阻（UPJO）的应用价值。方法对36例确诊为UPJO的患儿行后腹腔Anderson-Hynes手术。结果35例手术成功，1例中转开放。手术时间65～130min，平均95min；术中出血5～20ml，平均10ml，术后住院时间7～15d，平均8d。2例出现尿漏，分别于术后第9天、第12天消失。平均随访时间6个月（1～24个月），B超复查手术侧肾积水减轻，IVU检查UPJ吻合口无狭窄，肾盂输尿管排尿功能好，症状基本消失。结论后腹腔镜Anderson-Hynes术是治疗小儿UPJO安全、有效及微创的方法，值得临床推广应用。Objective To assess the feasibility and efficacy of retroperitoneal laparoscopic An derson-Hynes pyeloplasty for ureteropelvic junction obstruction（UPJO）in children. Methods Thirtysix children with UPJO underwent retroperitoneal laparoscopic Anderson-Hynes dismembered pyeloplasty in our institutions, all clinical data were recorded and analyzed. Results Totally 35 cases successfully underwent retroperitoneoscopic Anderson-Hynes pyeloplasty and only one was converted to open surgery. The mean operating time was 95 minutes （ranged 65 - 131） minutes）, the mean blood loss was 10 ml （ranged 5 - 20 ml） and the mean postoperative hospital stay was 8 days （ranged 7 - 15 days）. Postoperative urinary leakage occurred in 2 patients, but disappeared in the 9th or the 12ed day after surgery, respectively. The mean postoperative fellow-up time was 6 months （ranged 1 - 24 months）. The hydronephrosis was reduced as revealed by ultrasound examination. Intravenous pyelogram demonstrated no stenosis of UPJ anastomosis, and good micturition with disappearance of symptoms. Conclusions Retroperitoneoscopic Anderson-Hynes pyeloplasty for UPJO in children is a safe and efficient method with minimal invasion.

关 键 词：儿童 腹腔镜 输尿管梗阻 

分 类 号：R726[医药卫生—儿科]