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离断性肾盂成形术治疗肾盂输尿管连接部梗阻
引用本文:唐汇龙,佘湘群,谢逸峰,唐米纳,刘明,万奔. 离断性肾盂成形术治疗肾盂输尿管连接部梗阻[J]. 右江医学, 2002, 30(6): 467-468
作者姓名:唐汇龙  佘湘群  谢逸峰  唐米纳  刘明  万奔
作者单位:1. 湖南省怀化市第二人民医院新院,靖州,418400
2. 国家卫生部北京医院,100730
摘    要:目的 :探讨肾盂输尿管连接部梗阻 (UPJO)的手术治疗方法。方法 :采用离断性肾盂成形 (Anderson Hynes)术加肾、输尿管造瘘及内支架引流术治疗肾盂输尿管连接部梗阻 2 4例。结果 :一次手术成功 2 3例 ,二次手术成功 1例。近期并发症 1例。2 4例经 6个月~ 2年随访 ,远期疗效好。结论 :先天性肾盂输尿管连接部梗阻 ,手术方法以Anderson Hynes术为首选 ;双J管能起到引流通畅及内支架作用 ;儿童患者仍需采用肾、输尿管造瘘引流

关 键 词:肾盂输尿管连接部梗阻  肾盂成形术  引流
文章编号:1003-1383(2002)06-0467-02
修稿时间:2002-10-14

Dismembered pyeloplasty(Anderson-Hynes) for the treatment of obstruction of ureteropelviv junction
Tang Huilong ,She Xiangqun ,Xie Yifeng ,Tang Mina ,Liu Ming ,Wan Ben. Dismembered pyeloplasty(Anderson-Hynes) for the treatment of obstruction of ureteropelviv junction[J]. Youjiang Medical Journal, 2002, 30(6): 467-468
Authors:Tang Huilong   She Xiangqun   Xie Yifeng   Tang Mina   Liu Ming   Wan Ben
Affiliation:Tang Huilong 1,She Xiangqun 1,Xie Yifeng 1,Tang Mina 1,Liu Ming 2,Wan Ben 2
Abstract:Objective: To evaluate the surgical management of ureteropelvic junction obstruction (UPJO).Method:24 cases of UPJO were treated by dismembered pyeloplasty (Anderson Hynes) procedure,nephrostomy or ureterostomy along with a double J multihole stent placement were also established.Results:23 cases of patients obtained satisfactory outcomes after the operation,1 case did after reoperation.Only 1 case had complication in the near future,all patients have been followed up for 8 mouths to 2 years with satisfactory long term results.Conclusion:Dismembered pyeloplasty (Anderson Hynes) procedure is the treatment of choice for congenital UPJO,a double J stent can serve as internal stent and drainage,nevertheless nephrostomy or ureterostomy is necessary for children.
Keywords:ureteropelvic junction obstruction (UPJO)  pyeloplasty  drainage
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