摘要
目的:探讨肾盂输尿管连接处梗阻(PUJO)的手术方法。方法:本组42例中采用非离断性肾盂成形术17例,其中单纯粘连带切断松解术4例,肾盂裁剪加连接处松解术5例,肾盂YV成形术8例;离断性肾盂成形术25例。结果:42例中38例获得随访,其中非离断性肾盂成形术16例,7例肾积水明显减轻(43.8%),6例无变化,3例加重;离断性肾盂成形术22例,20例肾积水明显改善(90.9%),2例肾积水改善不明显但未加重。两种手术方法的疗效比较采用χ2检验,P<0.05,差异有显著性意义。结论:离断性肾盂成形术是治疗PUJO的理想方法。
Purpose: To evaluate the surgical method of ureteropelvic junction obstruction (UPJO).Method: Dismembered pyeloplasty was performed in 25 cases, continuity pyeloplasty in 17 cases in which the division of aberrant vessels was performed in 4 cases, pyelo clip and pelvioureterolysis in 5 cases, Y V pyeloplasty in 8 cases.Results: Thirty eight of 42 cases (93%) had been followed up in which continuity pyeloplasty group was 16 cases, dismembered pyeloplasty group 22 cases. For continuity pyeloplasty, hydronephrosis was significant improved in 7 (43.8%) cases, failed in 6 cases, worsened in 3 cases. For dismembered pyelopasty, significant improved in 20 (90.9%) cases, failed in 2 cases. The χ2 test shows significant difference (P<0.05).Conclusion: Dismembered pyeloplasty is a good surgical method for UPJO.
出处
《临床泌尿外科杂志》
2002年第1期9-10,共2页
Journal of Clinical Urology