腹腔镜肾固定术治疗症状性肾下垂25例疗效观察

目的探讨腹腔镜肾固定术的手术方法及疗效。方法患者术前行B超和静脉肾盂造影（IVP）检查,明确发现当患者由平卧位改为站立位时患侧肾脏下移超过5 cm。25例均采用经腹腔途径,使用特殊修剪的不可吸收Polypropylene网片将肾脏下极固定在腰大肌上。结果 25例手术均获得成功,无中转开放。21例患者患侧腰痛症状完全缓解,4例患者仍偶尔出现长久站立后患者腰痛。术后16例患者复查B超和IVP,9例患者仅复查B超、卧位和立位腹部平片,均提示由卧位改为站立位时肾脏下移小于5 cm。结论腹腔镜肾固定术具有创伤小、并发症少、恢复快、复发率低、手术疗效确定等优点,是治疗症状性肾下垂安全有效的方法。

Curative effect of laparascopic nephropexy for symptomatic nephroptosis

Objective To explore the operation methods and curative effect of laparoscopic nephropexy.Methods All of the patients were examined IVP,showed the kidney was decent 5 cm when the body changed from a supine to an erective position.Three bilateral nephroptosis were done laparoscopic nephropexy at the same time,the other patients were just done laparoscopic right nephropexy.The operations uesd unabsorption polypropylene net to fix the kidney to pso-as.Results The operation was successful in all patients.21 patients felt the flank pain were completely relieved,the other four still had pain,but much better than preoperation.16 patients reexamine IVP postoperation,showed the kidney was de-cent 5cm when the body changed from a supine to an erective position.Conclusion Laparoscopic nephropexy is a mini-mally invasive,feasible and highly successful option for treating patients with symptomatic nephroptosis.