摘要
目的 :探讨肾盂输尿管连接部(UPJ)梗阻的最佳治疗方案。方法 :报告27例(29侧)UPJ梗阻的治疗情况 ,18例(19侧)行Anderson -Hynes肾盂成形术 ,其中3例巨大及重度肾积水者加作肾内翻折叠术 ,1例侧行肾盂瓣输尿管成形术 ,4例(5侧)行Y -V成形术 ,4例侧行肾切除术。全部病例均放置输尿管支架引流。结果 :17例(18侧)行Anderson-Hynes肾盂成形术者术后症状消失 ,大部份患者复查IVU显示肾盂明显缩小 ,肾功能改善 ,UPJ处蠕动良好。1例吻合处狭窄 ,经扩张后再次放置双J管6周后治愈。1例行肾盂瓣成形及4例行Y -V成形术者 ,术后复查肾积水有改善 ,但肾盂缩小不明显 ,UPJ处蠕动幅度频率改善不明显。结论 :Anderson -Hynes肾盂成形术为最佳术式。
Objective:To explore the treatment program for the obstructio n in ureter renal pelvis junction(UPJ).Methods:Of the29cases of UPJ obstructuion ,18cases were performed Anderson-Hynes operation,4were performed Y-v plastic operation and4were received renaloctomy.Results:Compared with the other cases,17cases of erceiving Anderson-Hynes were improved markedly.Conclusion:Anderson-Hynes plastic operation is a better way of treating UPJ obstruction.
出处
《大理学院学报（综合版）》
CAS
2004年第1期24-26,共3页
Journal of Dali University
