经皮肾造瘘联合内镜下切开治疗肾盂输尿管交界处狭窄(附15例报告)

Percutaneous nephrostomy combined with endoscopic incision for treating ureteropelviejunction stricture(report of 15 cases)

目的探讨行经皮肾造瘘联合内镜下切开治疗肾盂输尿管交界处(UPJ)狭窄的有效性及安全性。方法回顾性分析15例采用经皮肾造瘘联合内镜下切开治疗UPJ狭窄患者的临床资料。结果该组15例手术均获成功,一次性治愈10例,有效3例,无效2例,其中无效2例半年后同样方法治愈,无明显出血等并发症。结论该手术方法治疗UPJ狭窄,具有创伤小、并发症少、疗效可靠、恢复活动快等优点,值得临床应用。

[Objective] To explore efficacy and safety of percutaneous nephrostomy combined with endoscopic incision for ureteropelvic junction （UPJ） stricture. [Metheds] 15 cases underwent percutaneous nephrostomy combined with endoscopic incisin were reviewed and evaluated. [Results] The operation was successfully performed on all the 15 patients with 10 cases cured at one time, 3 cases effective and 2 cases noneffective who were cured by the same method after half a year. No complications such as abvious bleeding occured, [Concusion] Percutaneous nephrostomy combined with endoscopic incision for UPJ Stricture is one of erective and safec methods for UPJ strlcture.deserve a clinilal application to use.