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离断性肾盂成形双J管内引流术治疗肾盂输尿管连接部狭窄 被引量:7

Treatment of ureteropelvic junction stricture by anderson hynes pyeloplasty and double J tube internal drainage
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摘要 目的:探讨肾盂输尿管连接部(UPJ)狭窄的手术治疗方法。方法:采用Anderson-Hynes离断性肾盂成形双J管内引流术治疗肾盂输尿管连接部狭窄58例,常规采用双J管作支架内引流,留置导尿管5~7天,术后4~8周拔除双J管,3~12个月行静脉肾盂造影复查。结果:58例手术均获成功。肾盂积水好转,狭窄解除,吻合口通畅,近期并发症5例。随访6个月~2年,未出现吻合口再狭窄、肾积水加重等远期并发症。结论:离断性肾盂成形双J管内引流术是治疗肾盂输尿管连接部狭窄的有效方法,术中使用双J管能减少术后吻合口狭窄的发生,提高手术的成功率。 Objectives:To evaluate the operative treatment for uretempelvic junction (UPJ)stricture.Methods :A total of 58 cases of UPJ stricture had double-J tubes placed intraoperatively during Anderson-Hynes pyeloplasty.Urethral catheterization was maintalned for 5-7 day,and the double-J tube was removed on cystoscopy 4 to 8 weeks after operation.The outcome was evaluated with ultrasonography or intravenous umgraphy in 3 to 12 months postoperatively.Results:Success rate of management was 100%, stricture was relieved successfully in all patients,and hydronephmsis improved.Only 5 cases had complication in the near future. During follow-up of 6 months to 2 years,long-term complications,like stricture of the anastomotic mouth,and worsened kidney hydrocele,were not observed.all patients have been with satisfactory long-term results.Conclusions:Anderson-Hynes pyeloplasty was an effective method for the treatment of UPJ stricture.A double-J tubes in the operation could reduce the incidence of anastomofic mouth stricture and promote the success rate of operation.
出处 《重庆医科大学学报》 CAS CSCD 2007年第2期210-211,共2页 Journal of Chongqing Medical University
关键词 肾盂输尿管连接部狭窄 外科 手术 Ureteropelvic junction stricture Surgery Operation
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参考文献4

  • 1田军,黄澄如,白继武,梁若馨,孙宁,张潍平,徐洁.肾盂成形术后梗阻的治疗(附31例分析)[J].中华泌尿外科杂志,1999,20(9):557-559. 被引量:10
  • 2Dorothea R,Howard MS,John WD,et al.The operative management of recurrent ureteropelvic junction obstruction[J].J Uro1,1997;158(3pt2): 1257-1259.
  • 3Stevan BS.Ureteroplevic junction obsrucfion:open operative intervention[J].Urol Clin North AM, 1998; 25 (2) : 331-341.
  • 4Finney RP. Experience with new double J ureteral catheter stent[J].J Urol, 1978; 120(6):678-681.

二级参考文献1

  • 1黄澄如,小儿泌尿外科学,1996年,86页

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