不同术式治疗肾盂输尿管连接部梗阻63例报告  

Different Surgical Approaches for PUJO in 63 Cases

作　　者：迟玉友[1] 周荣祥 杨进益 侯成玉 尹洪山 薄学军 

机构地区：[1]山东滨州医学院附属医院泌尿外科副主任医师，滨州256603 [2]不详

出　　处：《中国现代手术学杂志》2000年第3期201-203,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的　探讨肾盂输尿管连接部梗阻的最佳治疗方案。　方法　报告 6 3例 (70侧 )肾盂输尿管连接部梗阻的治疗 ,48侧行Anderson -Hynes肾盂成形术 ,6侧行肾盂瓣输尿管成形成 ,5侧行Y -V成形术 ,11例行肾切除术。 8例巨大及重度肾积水病人在A -H肾盂成形术基础上加肾内翻折叠及肾固定术 ,全部病例均放置输尿管支架引流。 11例患儿应用改良式双J管内引流。　结果　 5 1例随访 6个月～ 5年 ,均治愈。　结论　A -H肾盂成形术为最佳术式 :巨大肾积水A -H肾盂成形术加肾内翻折叠及肾固定术不仅改善外观 ,更利于引流及功能的恢复。ObjectiveTo probe into the best approach for PUJO. Methods Of the 63 PUJO patients in the study (70 renal units), 48 received Anderson-Hynes pyeloplasty, 6 pelviflapureteroplasty, 5 Y-V pyeloplasy, and 11 nephrectomy. 8 patients with giant and severe hydronephrosis were treated with A-H pyeloplasty,and an adjunctive nephroplication and nephropexy were performed at the same time, and ureteric stents for drainage were planted in all the patients. 11 child patients used improved double J catheters for inner drainage. Results A complete cure was achieved in the 51 follow-up cases for 6-60 months. ConclusionA-H pyeloplasty is the best approach. The application of A-H pyeloplasty with the aid of nephroplication and nephropexy in the treatment of giant hydronephrosis not only improves the appearance but also helps with drainage and promotes the recovery of the renal funtion. The improved double J catheter can also be used for inner drainage in children.

关 键 词：肾盂输尿管连接部梗阻 手术治疗 ANDERSON-HYNES肾盂成形术 肾盂瓣输尿管成形术 Y-V成形术 肾切除术 

分 类 号：R683[医药卫生—骨科学]