离断性肾盂成形术治疗肾盂输尿管连接部狭窄

Anderson-Hynes dismembered pyeloplasty for treatment of stricture of ureteropelvic junction

[目的]探讨肾盂输尿管连接部（UPJ）狭窄的手术治疗方法。[方法]对33例离断式肾盂成形术（Anderson-Hynes＇术）患者的围手术期的各种临床指标和疗效进行回顾性分析。[结果]所有患者均一次性手术成功,其中3O例随访6个月-5年,平均2年8个月,肾积水明显改善27例（90%）,肾积水改善不明显2例,肾积水加重1例。[结论]离断式肾盂成形术是治疗肾盂输尿管连接部狭窄的首选术式。

：[ Objective] To evaluate the surgical management of uretropelvic junction （UPJ） stricture. [ Methods ] Data of 33 cases of Anderson- Hynes dismembered pyeloplasty were reviewed retrospectively. [ Results ] All cases obtained satisfactory outcomes after the surgery, 30 of 33 cases had been followed -up for 6 months to 5 years, hydronephmsis was significant improved in 27 cases （90%）. [ Conclusions ] Dismembered pyeloplasty procedure is the first choice for uretropelvic junction stricture.