经12肋小切口离断式肾盂成型术28例报告  

Mini-flank trans-12th rib incision for dismembered pyeloplasty in 28 cases

作　　者：李奇孟[1] 方伟杰[1] 张斌斌[1] 缪江伟[1] 宋旭阳[1] 黄翔[1] 陈先全[1] 蔡海荣[1] 朱丽珍[1] 

机构地区：[1]温州医学院附属第三医院泌尿外科,浙江瑞安325200

出　　处：《现代泌尿外科杂志》2009年第4期260-261,共2页Journal of Modern Urology

基　　金：浙江省医药卫生科学研究基金资助(No.2006B122)

摘　　要：目的总结经12肋小切口离断式肾盂成型术的临床应用经验。方法2004年8月～2008年5月本院收治的28例肾盂输尿管连接部梗阻的患者接受经12肋小切口离断式肾盂成型术,对其手术入路、临床效果及并发症进行回顾性分析总结。结果28例手术均顺利完成,无需延长切口。手术时间55～140min(平均91min),术中估计出血量20～210mL(平均53mL)。术后36h内恢复进食。1例术后出现漏尿,5d后消失。随访2～37月,27例肾积水减少,1例拔除输尿管支架后肾积水加重,予延长支架留置时间。结论经12肋小切口离断式肾盂成型术创伤小、恢复快、疗效确切,费用较低,是一种可以选择的微创手术方式。Objective To report the initial experience of mini-flank trans-12th rib incision for dismembered pyeloplasty. Methods Clinical data of 28 patients with ureteropelvic junction （UPJ） obstruction who underwent dismembered pyeloplasty through a mini-flank trans-12th rib incision were analyzed retrospectively. Results All operations went successfully with no extension of the incision. The average operative time was 91 min （55-140 min）, and the mean estimated blood loss was 53 mL （20-210 mL）. All patients resumed oral intake in 36 hours. Leakage of urine happened in one case and disappeared after 5 days. With follow-up of 2-37 months, hydroncphrosis relieved in 27 cases and worsened in 1 case after the removal of ureter stent, and prolonged drainage with ureter stent was needed in this case. Conclusion Mini-flank trans-12th rib incision offers a new minimal invasive, effective and economical way for dismembered pyeloplasty.

关 键 词：小切口 离断式肾盂成型术 微创外科 

分 类 号：R699.2[医药卫生—泌尿科学]