| 经皮腔内穿刺复通治疗肾盂输尿管连接部梗阻 |
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| 引用本文： | 罗金泰,袁坚,黄锦坤,刘永达,雷鸣,卢穗琳. 经皮腔内穿刺复通治疗肾盂输尿管连接部梗阻[J]. 临床泌尿外科杂志, 2008, 23(5): 345-347 |
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| 作者姓名： | 罗金泰 袁坚 黄锦坤 刘永达 雷鸣 卢穗琳 |
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| 作者单位： | 广州医学院第一附属医院微创外科中心,广州,510230 |
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| 摘 要： | 目的:探讨肾盂切开取石术后肾盂输尿管连接部梗阻(UPJO)的有效治疗方法.方法:对23例行肾盂切开取石术后出现.肾盂输尿管连接部梗阻的患者,通过经皮肾造瘘在床边C臂X光机监视下行腔内穿刺复通肾盂输尿管连接部,扩张穿刺通道后留置形状记忆合金网状金属支架,术后服用泼尼松片,3个月后复查肾造瘘管造影,了解复通情况.结果:16例患者复通效果良好,其中术前患肾GFR30 ml/min组的成功率为88%(15/17),术前患肾GFR<30 ml/min组的成功率为16.7%(1/6),顺利拔除肾造瘘管.结论:通过经皮肾造瘘行腔内穿刺复通治疗肾盂输尿管连接部闭锁是一种安全有效的方法.
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| 关 键 词： | 肾盂输尿管连接部闭锁 经皮肾造瘘术 金属支架 |
Percutaneous endopuncturation in the treatment of ureteropelvic junction obstruction |
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| LUO Jintai,YUAN Jian,HUANG Jinkun,LIU Yongda,LEI Ming,LU Suiling. Percutaneous endopuncturation in the treatment of ureteropelvic junction obstruction[J]. Journal of Clinical Urology, 2008, 23(5): 345-347 |
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| Authors: | LUO Jintai YUAN Jian HUANG Jinkun LIU Yongda LEI Ming LU Suiling |
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| Affiliation: | 1Department of Urology;First Affiliated Hospital of Guangzhou Medical College;Guangzhou;510120;China |
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| Abstract: | Objective:To report our experience in treating ureteropelvic junction obstruction resulted from pyelolithotomy.Methods:We retrospectively review the clinical data of 23 patients with ureteropelvic junction obstruction resulted from pyelolithotomy who underwent percutaneous nephrostomy. Endopuncturation was performed under the observation of C-arm X-ray apparatus and recanalized the obstructed segment. The recanalized segment was dilated,then a metallic stent was inserted. All patients were given prednisone ... |
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| Keywords: | Ureteropelvic junction obstruction Percutaneous nephrostomy Metallic stent |
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