摘要
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.
出处
《新疆医科大学学报》
CAS
2007年第7期668-670,共3页
Journal of Xinjiang Medical University
关键词
肾下垂
腹腔镜
肾固定
肾积水
nephroptosis
laparoscopy
nephropexy
hydronephrosis