| 腹膜后腹腔镜肾盂成形术治疗肾盂输尿管连接部梗阻62例临床分析 |
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| 引用本文： | 杨建昆,张宇,王胜军,马力克·伊斯哈科夫,汪清.腹膜后腹腔镜肾盂成形术治疗肾盂输尿管连接部梗阻62例临床分析[J].腹腔镜外科杂志,2009,14(2). |
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| 作者姓名： | 杨建昆 张宇 王胜军 马力克·伊斯哈科夫 汪清 |
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| 作者单位： | 新疆维吾尔自治区人民医院,新疆,乌鲁木齐,830001 |
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| 摘 要： | 目的:评价腹膜后腹腔镜手术治疗肾盂输尿管连接部梗阻(ureteropelvic junction obstruction,UPJO)的手术技巧和临床效果。方法:回顾性分析施行经腹膜后腹腔镜肾盂成形术的62例肾盂输尿管连接部梗阻患者的临床资料。根据62例患者发病机理的不同,20例行腹膜后腹腔镜肾盂输尿管连接部周围压迫组织松解术,28例行Y-V成形术,14例行离断成形术。术后随访3~36个月。结果:所有患者手术均顺利完成,静脉肾盂造影(intravenous urography,IVU)提示造影剂通过良好,肾积水均明显改善。结论:腹膜后腹腔镜治疗肾盂输尿管连接部梗阻创伤小,患者术后痛苦小、康复快、住院时间短、疗效显著,可作为治疗肾盂输尿管连接部梗阻的首选方法。
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| 关 键 词： | 肾盂 输尿管疾病 腹膜后腹腔镜 |
Clinical analysis of retroperitoneal laparoscopic pyeloplasty for ureteropelvic junction obstruction:with a report of 62 cases |
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| YANG Jian-kun,ZHANG Yu,WANG Sheng-jun,et al..Clinical analysis of retroperitoneal laparoscopic pyeloplasty for ureteropelvic junction obstruction:with a report of 62 cases[J].Journal of Laparoscopic Surgery,2009,14(2). |
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| Authors: | YANG Jian-kun ZHANG Yu WANG Sheng-jun |
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| Institution: | YANG Jian-kun,ZHANG Yu,WANG Sheng-jun,et al.The Second Dept.of Urology,the People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China |
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| Abstract: | Objective:To evaluate the technique and clinical effects of laparoscopic pyeloplasty.Methods:Sixty two cases with ureteropelvic junction obstruction(UPJO)undergoing retroperitoneal laparoscopic pyeloplasty were analyzed retrospectively.According to the different pathogenies of these 62 cases,20 cases under went lysis.28 cases under went Y-V ureteropelvioplasty,and 14 cases under went dismembered ureteropelvioplasty.Following-up were 3-36 months.Results:All the operations were successful.Intravenous urograph... |
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| Keywords: | Kidney pelvis Ureteral diseases Retroperitoneal laparoscopy |
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