肾盂输尿管连接部梗阻手术治疗

目的: 探讨肾盂输尿管连接部(UPJ)梗阻的手术治疗方法。方法: 采用离断性肾盂成形术治疗先天性肾盂输尿管连接部梗阻32例,常规采用双J管作支架内引流。结果: 术后无感染、漏尿和再狭窄等并发症,患肾积水明显好转,吻合口通畅。结论: 离断性肾盂成形术是治疗肾盂输尿管连接部梗阻较有效的方法,术中使用双J管作支架有利于肾功能迅速恢复,减少术后吻合口再狭窄的发生,提高了手术的成功率。

Surgical management of ureteropelvic junction obstruction:Report of 32 cases

Objective:To evaluate the surgical management of ureteropelvic junction(UPJ) obstruction.Methods:Thirty-two cases of congenital UPJ obstruction were treated by Anderson-Hynes pyeloplasty.Double-J stents were used as internal stands and drainage.Results:All the obstructions were successfully relieved,hydronephrosis was greatly improved and no complications such as urinary infection,leakage of urine or restricture were noted at follow-up.Conclusions:Anderson-Hynes pyeloplasty is an efficient treatment for congenital obstruction of UPJ,and the use of double-J stent as internal stand and drainage can help recovery of kidney function,reduce the chance of UPJ restriction,and raise the rate of success.