后腹腔镜离断式肾盂成形术(附17例报告)  

Retroperitoneal Laparoscopic Dismembered Anderson-Hynes Pyeloplasty (Report of 17 Cases)

作　　者：胡兴平[1] 邓秀辉[1] 徐军[1] 张力[1] 王豪[1] 邓林[1] 郑传东[1] 敖永琼[1] 

机构地区：[1]成都市第五人民医院泌尿科,四川成都611130

出　　处：《华西医学》2009年第4期849-851,共3页West China Medical Journal

摘　　要：目的：探讨后腹腔镜离断式肾盂成形术的临床价值。方法：采用后腹腔镜技术对17例肾盂输尿管连接部梗阻（UPJO）患者实施离断式肾盂成形术。结果：17例手术全部成功,手术时间95-165 min,平均130 min,术中出血20-90 mL,平均50 mL。术后15例随访3-16个月,IVU检查吻合口无狭窄,患肾积水减轻或消失,腰部疼痛消失。结论：后腹腔镜离断式肾盂成形术创伤小、安全、有效,是肾盂输尿管连接部梗阻（UPJO）新的治疗选择,可替代传统的开放手术。Objective： To assess the feasibility and results of retroperitoneal laparoscopic dismembered Anderson-Hynes Pyeloplasty in the treatment of ureteropelivic junction obstruction （UPJO）. Methods： Seventeen cases with UPJO underwent retroperitoneal laparoscopic dismembered Anderson-Hynes Pyeloplasty. Results： Retroperitoneal laparoscopic was successfully performed in 17 cases. The mean operating time was 130 minutes （ranged from 95 minutes to 165 minutes）, the mean blood lose was 50 mL （ranged from 10 mL to 90 mL）. Follow-up assessment with intravenous urography for 3 16 month in 15 patients showed no ureteral stricture. Conclusion： Retroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty is a minimally invassive, safe and effective threapy for UPJO. It can replace the open surgery.

关 键 词：肾盂输尿管连接部梗阻 肾盂成形术 后腹腔镜 

分 类 号：R699[医药卫生—泌尿科学]