后腹腔镜下肾固定术治疗肾下垂的临床效果

Clinical study of retroperitoneal laparoscopic nephropexy

目的：探讨后腹腔镜行肾固定术的临床效果.方法：14例肾下垂患者,其中8例患者在肾中、下极被膜上“8”字缝合各1针,使用自制钩针勾出缝线将之固定于侧腹壁上;6例患者将肾周筋膜于肾下极处折叠缝合,将肾脏托与上方固定.随访4～12月,评价术后肾移位及肾积水的改善情况.结果：术后静脉肾盂造影示14例患者肾积水均有不同程度地改善,其中8例轻度积水恢复正常,所有患者术后肾脏不再移动.结论：采用后腹腔镜行肾固定术治疗肾下垂效果可靠,手术操作简便,损伤小,术后恢复快,但远期疗效有待进一步随访观察.

Objective： To explore the clinical effect of retroperitoneal laparoscopic nephropexy in nephroptosis. Methods： Fourteen patients with nephroptosis were treated by retroperitoneal laparoscopic nephropexy, among them, we make ＂8＂ suture on fascia of kidney upper and button in 8 patients, and use self-restraint needle to hook the silk wire to fixed in parietal peritoneum. In 6 patients, we hold and fix their kidneys by fold suturing renal fascia in kidney button. We evaluated the improvement of nephroptosis and hydronephrosis after 4 ～ 12 months of following-up. Results： IVU results of all patients were performed successfully, hydronephrosis of four patients restored normally, and all patients had movement of kidney no longer. Conclusions： The effect of retroperitoneal laparoscopic nephropexy is reliable, it has the merits of easy operations, slight damages to patients, and faster recovery.