摘要
目的 总结成人肾盂输尿管连接部梗阻的诊治经验。 方法 回顾分析 185例肾盂输尿管连接部梗阻患者的病因、临床特点及手术治疗结果。其中肾盂输尿管连接部狭窄 14 8例 ,高位肾盂输尿管连接 17例 ,迷走血管压迫 9例 ,纤维索条压迫 11例。手术共 195例次 ,Anderson Hynes肾盂成形术 15 3例次 ,纤维条索松解 8例 ,因异位血管切断肾盂复位 3例 ,输尿管镜内切开 16例次 ,肾切除 15例。 结果 170例随访 3～ 16个月 ,痊愈 16 3例 ,治愈率 96 %。 7例 (4 % )发生再狭窄 ,二次行肾盂成形术 3例 ,输尿管镜内切开 4例 ,均痊愈。 结论 Anderson Hynes肾盂成形术是治疗肾盂输尿管连接部梗阻的首选术式。选择性应用输尿管内切开术有较好疗效。
Objective To study the treatment of ureterpelvic junction obstruction in adults. Methods 185 adult patients with hydronephrosis were reviewed for etiology,clinical characteristics and outcome of surgery.Etiological factors included 148 cases of ureteropelvic junction stricture,17 cases of high location of the junction,9 cases of ectopic vessels and 11 cases of fiber chords.Of 195 times surgery procedures,Anderson-Hynes pelvioplasty was conducted for 153 cases,chords brisement for 8,uriteropelvic repositioning for 3,ureteroscopic endopyelotomy for 16,and nephrectomy for 15. Results 170 patients were followed-up for 3 months to 5 years.163 patients had fully recovered,cure rate being 96%.7 patients had to undergo operation again for stricture recurrence,in 3 by Anderson-Hynes pelvioplasty and 4 by ureteroscopic endopyelotomy.All the patients with recurrence have been completely cured. Conclusions Anderson-Hynes pelvioplasty is still the first choice of treatment for ureteropelvic junction stricture,and ureteroscopic endopyelotomy for some special conditions.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第8期534-536,共3页
Chinese Journal of Urology
