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成人肾盂输尿管连接部狭窄肾盂成形术(附81例报告)
引用本文:黄翼然,刘东明,周立新,薛蔚.成人肾盂输尿管连接部狭窄肾盂成形术(附81例报告)[J].中国现代手术学杂志,2002,6(1):12-13.
作者姓名:黄翼然  刘东明  周立新  薛蔚
作者单位:上海第二医科大学附属仁济医院泌尿外科,上海,200127
摘    要:目的:介绍微创性成人肾盂输尿管连接部狭窄肾盂成形术,方法:81例成人肾盂输尿管连接部狭窄行小切口离断的肾盂成形术。结果:76例获随访,随访率93.8%,随访时间平均3.5年,61例肾盂肾盏积水明显减少,肾功能改善,占80.3%,肾盂肾盏积水及肾功能无改变13例,占17.1%,2例肾盏肾盏积水加重及肾功能明显减退,予患肾切除。结论:小切口离断的肾盂成形术操作简单,创伤小,结果满意。

关 键 词:输尿管肾盂连接处狭窄  肾盂成形术  成人  微创外科  小切口离断术
文章编号:1009-2188(2002)01-0012-03
修稿时间:2002年1月7日

Pyeloplasty for Stricture of Ureteropelvic Juncion in Adults
HUANG Yi ran,LIU Dong min,ZHOU Li xin,et al..Pyeloplasty for Stricture of Ureteropelvic Juncion in Adults[J].Chinese Journal of Modern Operative Surgery,2002,6(1):12-13.
Authors:HUANG Yi ran  LIU Dong min  ZHOU Li xin  
Abstract:Objective To introduce the pyeloplasty for obstruction of ureteropelvic junction(UPJ) in adults. Method 81 patients of obstruction of PUJ were performed with dismembering peyloplasty through a small incision. The surgical procedures were discussed in detail. Results 76 cases had been followed up for 6 months to 8 years (average 3.5 years). Improvement of the renal function were found in 80.3% of the patients, and the renal function had not changed in 17.1% of the patients. Only 2 patients got worse renal function, and the kidneys were removed. Conclusion Small incision dismembering peyloplasty is a minimal invasive surgery and effective for treatment of PUJ obstruction.
Keywords:stricture of uretero  pelvic juction  pyeloplasty  incision  
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