肾盂输尿管连接部梗阻的手术治疗(附52例报告)

目的　探讨肾盂输尿管连接部 (UPJ)梗阻的最佳治疗方案。方法　对 5 2例 (5 6例次 )UPJ梗阻病人 ,34例次行Anderson-Hynes肾盂成形术 ,11例次行离断倒转肾盂瓣肾盂输尿管成形术 ,1例因异位血管切断肾盂复位 ,4例纤维索带松解 ,6例肾切除。全部病例均放置双J管内引流。结果　术后的病人症状消失 ,随访 3～ 18个月 ,吻合口通畅 ,尿常规检查正常。结论　Anderson -Hynes肾盂成形术仍为UPJ治疗的最佳术式。离断倒转肾盂瓣输尿管上段成形术治疗长段UPJ狭窄所致肾积水不失为一种安全有效的新方法。

Ureterpelvic Junction Obstruction in Adult(report of 52 cases)

Objective To observe the effects of different surgical treatment for pelvic-ureteral junction obstruction(PUJO).Methods Of 52 cases(56 sides)with UPJ,34 cases were treated by Anderson-Hynes pyeloplasty,11 cases by the modified pyelo-ureteroplasty uriteropelvic repositioning,4 cases by chords brisement and 6 cases by nephrectomy double Jcatheters for internal drainage were used for all the patients.Results The obstruction was successfully relieved in 46 patients and no complications such as urinary infection and leakage of urine were noted on followed-up for 3-18 months.Conclusions Anderson-Hynes pyeloplasty is believed to be the best approach.The troublesome hydronephrosis,due to complicated long stenosis of UPJ and upper ureter,can be effectively treated by the modified pyelo-ureteroplasty.