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目的总结离断性肾盂成形术治疗小儿肾盂输尿管连接部梗阻(UPJO)的经验。方法离断性肾盂成形术治疗小儿肾积水86例。结果 86例98只肾脏,其中85例97只肾脏手术成功,成功率达98.9%。随访65例,临床症状消失,超声、MRU检查肾盂均有不同程度缩小,肾实质增厚,部分肾脏形态接近正常,积水消失。手术时间50~70 min,平均55 min。结论离断性肾盂成形术创伤小,操作简便,手术时间短,疗效满意。
Objective To summarize the experience of the treatment of pediatric ureteropelvic junction obstruction (UPJO) by intermittent pyeloplasty. Methods 86 cases of pediatric hydronephrosis were treated by intermittent pyeloplasty. Results 86 cases of 98 kidneys, of which 85 cases of 97 kidney surgery was successful, the success rate was 98.9%. Follow-up 65 cases, the clinical symptoms disappeared, ultrasound, MRU examination of the renal pelvis were reduced to varying degrees, thickening of the renal parenchyma, part of the kidney morphology close to normal, hydronephrosis disappeared. The operation time was 50-70 minutes with an average of 55 minutes. Conclusion Intermittent pyeloplasty is less traumatic, easy to operate, shorter operation time and satisfactory curative effect.