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我院以前多采用不切断的肾盂输尿管成形术,如Culp、Foley等,因其该手术术式不能去除病因,又不能切除病变组织,故效果不够理想,而近2年来我院采用离断性肾盂成形术,因此手术能切除狭窄的输尿管段,又能切除多余肾盂,有利肾盂排空,效果理想,现报告如下: (一)UPJ狭窄5例,男3例,女2例,年龄21～50岁,平均32岁,均为单侧肾积水,左侧3例,右侧2例,据RicRwood肾积水分度:Ⅱ°1例,Ⅲ°3例,Ⅳ°1例。
Our hospital used to cut the ureteropelvic polyposis, such as Culp, Foley, etc., because of the surgical procedures can not remove the cause, but also can not remove the diseased tissue, so the effect is not ideal, and the past 2 years in our hospital with the discontinuity Pyeloplasty, so the surgery can remove the narrow ureteral segment, but also remove the excess renal pelvis, renal pelvis emptying favorable effect, are as follows: (A) UPJ stenosis in 5 cases, 3 males and 2 females, aged 21 ~ 50 years old, average 32 years old. All of them were unilateral hydronephrosis. There were 3 cases on the left side and 2 cases on the right side. According to RicRwood’s degree of hydronephrosis, 1 case was Ⅱ °, 3 cases were Ⅲ ° and 1 case was Ⅳ °.