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目的:评价腹膜后腹腔镜手术治疗肾盂输尿管连接部梗阻(ureteropelvic junction obstruction,UPJO)的手术技巧和临床效果。方法:回顾性分析施行经腹膜后腹腔镜肾盂成形术的62例肾盂输尿管连接部梗阻患者的临床资料。根据62例患者发病机理的不同,20例行腹膜后腹腔镜肾盂输尿管连接部周围压迫组织松解术,28例行Y-V成形术,14例行离断成形术。术后随访3~36个月。结果:所有患者手术均顺利完成,静脉肾盂造影(intravenous urography,IVU)提示造影剂通过良好,肾积水均明显改善。结论:腹膜后腹腔镜治疗肾盂输尿管连接部梗阻创伤小,患者术后痛苦小、康复快、住院时间短、疗效显著,可作为治疗肾盂输尿管连接部梗阻的首选方法。
Objective: To evaluate the surgical technique and clinical effect of retroperitoneal laparoscopic surgery for ureteropelvic junction obstruction (UPJO). Methods: The clinical data of 62 patients with ureteropelvic junction obstruction who underwent retroperitoneal laparoscopic pyeloplasty were analyzed retrospectively. According to the pathogenesis of 62 patients, 20 patients underwent retroperitoneal laparoscopic ureteropelvic junction compression oppression around the tissue, 28 patients underwent Y-V plasty, 14 patients underwent disconnection. The patients were followed up for 3 to 36 months. RESULTS: All patients underwent successful surgery. Intravenous urography (IVU) indicated that the contrast medium passed well and hydronephrosis was significantly improved. Conclusion: Retroperitoneal laparoscopic ureteropelvic junction obstruction trauma, small postoperative pain, fast recovery, shorter hospital stay, the effect is significant, can be used as the treatment of ureteropelvic junction obstruction of the preferred method.