摘要
目的:探讨后腹腔镜肾盂成形术治疗少儿肾盂输尿管连接部梗阻(UPJO)的适应证、手术技巧及临床应用价值。方法:回顾性分析经后腹腔镜治疗的16例UPJO患者的临床资料。结果:16例手术均获成功。手术时间120～200分钟,平均155分钟;出血量50～110ml,平均75ml。术后平均住院时间8.5天(6～11天)。围手术期无并发症。随访6～18个月,UPJ吻合口无狭窄、肾积水,肾功能均得到改善。结论:后腹腔镜肾盂成形术是治疗少儿UPJO有效、微创、安全、术后恢复快、住院时间短的一种手术方法,可望做为少儿UPJO治疗的首选手术方法,值得临床推广。
Objective：To evaluate the choice of indications and clinical effects of retroperitoneoscopic pyeloplasty for ureteropelvic junction obstruction（UPJO） in children, and to review its technical details. Methods： Clinical data of 16 casespatients with UPJO treated by the post- laparoscopicwere retro- spectively analysed. Results： Retroperitoneoscopicy pyeloplast was performed successfully in all 16 cases. The operative time ranged from 120 to 200min （mean, 155min）. The blood loss ranged from 50 to110ml （mean, 75ml）. The mean postoperative hospital stay was 8.5d （range,6 - 11d）. There was no perioperative complication. During the follow - up of 6 - 18 months, no anastomotic stoma stricture of UPJ developed ; hydronephrosis resolved and renal function improved. Conclusion： Retroperitoneal pyeloplasty is mini - invasive, reliable, safe, faster recover from operation, shorter hospitolized days for the treatment of UPJO. It may be used as the first choice for treatment of UPJO in children and extremely deserve the clinical expansion.
关键词
肾盂输尿管连接部梗阻
后腹腔镜
Ureteropelvic junction obstruction
Retroperitoneal pyeloplast
