| 肾盂输尿管连接部梗阻的手术治疗 |
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| 引用本文： | 肖芝松,赵润明,肖玉坤,郭晓,郑宝寿,杨银桂. 肾盂输尿管连接部梗阻的手术治疗[J]. 大理学院学报：综合版, 2004, 3(1): 24-26 |
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| 作者姓名： | 肖芝松 赵润明 肖玉坤 郭晓 郑宝寿 杨银桂 |
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| 作者单位： | 大理学院附属医院泌尿外科,云南大理,671000 |
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| 摘 要： | 目的 :探讨肾盂输尿管连接部(UPJ)梗阻的最佳治疗方案。方法 :报告27例(29侧)UPJ梗阻的治疗情况 ,18例(19侧)行Anderson -Hynes肾盂成形术 ,其中3例巨大及重度肾积水者加作肾内翻折叠术 ,1例侧行肾盂瓣输尿管成形术 ,4例(5侧)行Y -V成形术 ,4例侧行肾切除术。全部病例均放置输尿管支架引流。结果 :17例(18侧)行Anderson-Hynes肾盂成形术者术后症状消失 ,大部份患者复查IVU显示肾盂明显缩小 ,肾功能改善 ,UPJ处蠕动良好。1例吻合处狭窄 ,经扩张后再次放置双J管6周后治愈。1例行肾盂瓣成形及4例行Y -V成形术者 ,术后复查肾积水有改善 ,但肾盂缩小不明显 ,UPJ处蠕动幅度频率改善不明显。结论 :Anderson -Hynes肾盂成形术为最佳术式。
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| 关 键 词： | 肾盂输尿管连接部梗阻 外科 手术 |
| 文章编号： | 1672-2345(2004)01-0024-03 |
| 修稿时间： | 2003-11-03 |
Operation Treatment on Obstruction in Ureter Renal Pelvis Junction |
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| XIAO Zhi-song,ZHAO Rui-ming,XIAO Yu-Kuan et al. Operation Treatment on Obstruction in Ureter Renal Pelvis Junction[J]. Journal of Dali University, 2004, 3(1): 24-26 |
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| Authors: | XIAO Zhi-song ZHAO Rui-ming XIAO Yu-Kuan et al |
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| Abstract: | Objective:To explore the treatment program for the obstructio n in ureter renal pelvis junction(UPJ).Methods:Of the29cases of UPJ obstructuion ,18cases were performed Anderson-Hynes operation,4were performed Y-v plastic operation and4were received renaloctomy.Results:Compared with the other cases,17cases of erceiving Anderson-Hynes were improved markedly.Conclusion:Anderson-Hynes plastic operation is a better way of treating UPJ obstruction. |
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| Keywords: | ureter renal pelvis junction obstruction surgery operation |
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