肾盂输尿管连接处梗阻的手术治疗

Surgical treatment of ureteropelvic junction obstruction

目的探讨肾盂输尿管连接处梗阻(PUJO)的手术方法。方法本组18例中,采用非离断性肾盂成形术6例,其中4例采用肾盂裁剪加连接处松解,其余12例采用离断性肾盂成形术。结果18例中16例获得随访,5例随访的非离断性肾盂成形术中3例积水明显减轻,2例无明显改善。离断性肾盂成形术1例肾积水加重,其余肾积水均明显改善。结论离断性肾盂成形术是治疗PUJO十分理想的方法。

Objective To evaluate the surgical procedures of treating ureteropelvic junction obstruction（UPJO）. Methods Dismembered pheloplasty was performed in 12 eases, and continuity pyeloplasty in 6 cases. Results Sixteen of 18 cases had been followed up. Hydronephrosis was significant improved in 3 eases of 5 patients with continuity pyeloplasty. Significant improvement was seen in 10 eases of 11 cases received dismembered pyeloplasty. Conclusion Dismembered pyeloplasty is a good surgical technique for the treatment of UPJO.