离断式肾盂成形术治疗肾盂输尿管连接部梗阻(附21例分析)

目的 探讨离断式肾盂成形术治疗肾盂输尿管连接部梗阻的方法和疗效.方法 回顾性分析21例肾盂输尿管连接部梗阻患者应用离断式肾盂成形术治疗的临床资料.结果 1次手术成功20例,1例术后肾盂输尿管连接处狭窄,经再次手术治愈,1例术前有肾功能不全,术后肾功能改善.21例中15例获得随访术后肾积水改善,肾盂输尿管连接处通畅.结论 离断式肾盂成形术是治疗肾盂输尿管连接部梗阻的有效方法.

Dismembered pyeloplasty for the treatment of ureteropelvic junction obstruction(21 cases analyses affached)

Objective To evaluate the cure and effect in the treatment of ureteropelvic junction obstrution(UPJO)by dismembered pyeloplasty.Methods Clinical data of 21 cases with ureteropelvic junction obstruction were reviewed who were treated by dismembered pyeloplasty.Results 20 cases gained success by one operation.1 case had ureteropelvic junction(UPJ)stenosis,which was cured by a second operation.1 case had renal function prostration before operation,which was improved after operation.15 of 21 cases had been followed up and their hydronephrosis was improved and their UPJ became unobstructed.Conclusion Dismembered pyeloplasty is effective in the treatment of UPJO.