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我院自1996年10月至1998年7月采用美国××公司生产的气囊扩张导管治疗肾盂输尿管连接部(PUJ)梗阻12例,疗效良好,报告如下。 临床资料 1.一般资料:本组12例(12侧),其中男8例,女4例;年龄24～58岁,平均36.8岁。PUJ梗阻位于右侧9例,左侧3例。狭窄段长度1～5mm(平均3.4mm),均伴有同侧肾积水(轻度5例,中度7例),肾盂切开取石术后梗阻3例,腔外占位压迫致梗阻1例,原因不明8例。临床表现为腰部酸胀5例,肾绞痛3例,无痛性血尿2例,体检时B超发现2例。所有病例均行B超和静脉肾盂造影(IVU)检查,其中6例行逆行插管造影,4例行磁共振水成像(MRU)检查。 2.治疗方法:治疗在C臂X线机电视屏幕间断监视下进行。
Our hospital from October 1996 to July 1998 by the United States × × company’s balloon dilation catheter for treatment of ureteropelvic junction (PUJ) obstruction in 12 cases, the effect is good, the report is as follows. Clinical data 1. General information: The group of 12 patients (12 sides), including 8 males and 4 females; aged 24 to 58 years, mean 36.8 years old. PUJ obstruction was located on the right side in 9 cases and left side in 3 cases. The length of the narrow segment ranged from 1 to 5 mm (3.4 mm in average), with ipsilateral hydronephrosis (mild 5, moderate 7), obstruction after pyelolithotomy 3 and obstruction 1 For example, the cause is unknown in 8 cases. Clinical manifestations of soreness in the waist in 5 cases, 3 cases of renal colic, painless hematuria in 2 cases, physical examination B-found in 2 cases. All cases underwent B-mode ultrasonography and IVU. Among them, 6 cases underwent retrograde catheterization and 4 cases underwent magnetic resonance imaging (MRU). 2. Treatment: Treatment in the C-arm X-ray machine under the supervision of the TV screen.