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目的探讨过度背仰位后腹腔镜Anderson-Hynes肾盂离断成形术治疗肾盂输尿管连接部梗阻(UPJO)的临床应用价值。方法回顾分析23例肾盂输尿管连接部狭窄患者在全麻下行过度背仰位后腹腔镜Anderson-Hynes肾盂离断成形术的临床资料。结果 23例均在后腹腔镜下顺利完成手术。手术时间120～255 min,平均153 min;术中出血量25～110 ml,平均64 ml;术后住院7～10 d,平均8.3 d;术后4～6周拔除双J管。随访时间6～20个月,平均13.7个月,均无复发。结论过度背仰后腹腔镜Anderson-Hynes肾盂离断成形术治疗UPJO操作简单,安全可行。
Objective To investigate the clinical value of laparoscopic Anderson-Hynes pyeloplasty in the treatment of ureteropelvic junction obstruction (UPJO). Methods The clinical data of laparoscopic Anderson-Hynephrectomy in 23 patients with ureteropelvic stenosis underwent general anesthesia were analyzed retrospectively. Results All the 23 cases underwent laparoscopic surgery successfully. The operation time ranged from 120 to 255 minutes (mean 153 minutes). The intraoperative blood loss was 25 to 110 ml (average 64 ml). The postoperative hospital stay was 7 to 10 days (mean, 8.3 days). The double J tube was removed 4 to 6 weeks after operation. Follow-up time was 6 to 20 months, an average of 13.7 months, no recurrence. Conclusions The over-backward laparoscopic Anderson-Hynes pyeloplasty for the treatment of UPJO is simple, safe and feasible.