| 腹腔镜肾盂成形术在UPJO治疗中的应用(附15例报告) |
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| 引用本文： | 金讯波,熊晖,蒋绍博,王健明.腹腔镜肾盂成形术在UPJO治疗中的应用(附15例报告)[J].山东医药,2003,43(18):1-3. |
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| 作者姓名： | 金讯波 熊晖 蒋绍博 王健明 |
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| 作者单位： | 山东省立医院,山东济南,250021 |
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| 摘 要： | 根据15例肾盂输尿管连接部(UPJ)狭窄所致肾积水患者的病情采用不同腹腔镜肾盂成形术式,手术均获成功。手术时间1．5～2．5小时,平均2小时。术中出血量20～40ml,无大出血和其他脏器损伤。术后第2天患者可下床活动,平均住院6天。术后2个月复查,拔除输尿管双J导管,患者原有肾区胀痛等症状消失。逆行肾盂造影(RP)检查吻合口通畅,肾积水明显减轻。7例半年后复查,肾积水基本消失,尿常规正常,肾盂尿pH值均恢复正常。认为腹腔镜肾盂成形术是治疗UPJ狭窄所致肾积水有效的微创手术方法,可适合于多种原因的肾盂输尿管连接部梗阻（UPJO）。
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| 关 键 词： | 腹腔镜 肾盂成形术 肾积水 肾盂输尿管连接部狭窄 治疗 |
| 修稿时间： | 2003年4月5日 |
Ureteropelvic junction obstuction treated laparoscopic pyeloplast(a report of 15 cases) |
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| Jin Xunbo,Xiong Hui,Jiang Shaobo,et al.Ureteropelvic junction obstuction treated laparoscopic pyeloplast(a report of 15 cases)[J].Shandong Medical Journal,2003,43(18):1-3. |
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| Authors: | Jin Xunbo Xiong Hui Jiang Shaobo et al |
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| Abstract: | cases with ureteropelvic junction (UPJ) obstruction underwent la paroscopic pyeloplasty by different methods All the operations have been succ e ssful, the operating time being 1 5 to 2 5 hours and the blood loss 20 to 40 milliliters No other internal organs were injured patients were out of bed actively 2 days after operation Rechecked and pull out double "J " catheter 2 month after oper ation , the symptoms vanished It was showed by RP that the anastomosis site i n all the cases was smooth Laparoscopic pyeloplasty is an effective way to treat UPJ obstru ct ion with minimal trauma to the patient, it can be used to treat UPJO that caused by most reasons |
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| Keywords: | Hydronephrosis Ureteropelvic junction Lapar oscopy |
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