摘要
目的：探讨后腹腔镜下肾盂成形术的临床疗效。方法：通过后腹腔途径在腹腔镜下32例肾盂输尿管连接部狭窄行离断式肾盂成形术。结果：32例手术均获成功,手术时间70-240分钟,平均110分钟。术中出血量30-80毫升,平均45毫升。术后住院8-34天,平均14.6天。术后3-10个月B超示术侧肾盂无积水或明显减轻。18例术后5个月IVU显示吻合口通畅。结论：后腹腔镜肾盂成形术微创、效果好、术后恢复快,值得推广。
Objective：To investigate the clinical result of retroperitoneal laparoscopic surgery for pyeloplasty.Methods：Reroperitoneal laparoscopic dismembered Anderson-Hynes pyeloplasty was performed on 32 cases of ureteropelivic junction（UPJ）obstruction.Results：All 32 cases succeeded uneventfully.The operation time was 70～240min with a mean of 110 minutes,and the estimated blood loss 30～80mL with a mean of 45mL.The postoperative hospital stay was 8～34d with a mean of 14.2d.Ultrasound B investigation 3 to 10 months after the procedure show no hydronephrosis or lesser hydrops in all and IVU analysis in 18 cases 5 months after the operation disclosed unobstruction at anastomotic stoma.Conclusion：Retroperitoneal laparoscopic nephropyeloplasty has the advantages of minimal invasion,effective,postoperaive quicker recovery,which is worth further clinical application.
出处
《农垦医学》
2010年第4期301-303,共3页
Journal of Nongken Medicine
关键词
肾盂
输尿管疾病
腹腔镜
kidney pelvis
ureteral diseases
laparoscopy
