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目的:探讨肾盂输尿管连接部梗阻(UPJO)合并肾盏结石的手术方法。方法:对4例患者先在腹腔镜下行肾盂狭窄处游离并切开,再从切开处使用输尿管硬镜或输尿管软镜进入患者有结石的目标肾盏,行钬激光碎石术,使用腹腔镜吸引器吸出碎石,碎石取石结束后行腹腔镜下肾盂输尿管成形术。结果:4例患者均手术成功,术后3个月返院复查,肾盂输尿管连接部梗阻解除并且肾盏无残石。结论:腹腔镜联合输尿管镜一期治疗UPJO合并肾盏结石是一种安全、有效、经济、可行的手术方法。
Objective: To investigate the surgical method of ureteropelvic junction obstruction (UPJO) combined with calyceal calculus. Methods: Four patients undergone laparoscopic pyelic renal pelvis stenosis at the first free and incision, and then from the incision using ureteroscopy or ureteroscopy into patients with calculus of the calyceal calculus, holmium laser lithotripsy, the use of the abdominal cavity Aspirator suction gravel, lithotripsy Laparoscopic ureteropelvic ureteroplasty. Results: All the 4 patients were operated successfully. The patients were returned to hospital 3 months after operation. The ureteropelvic junction obstruction was relieved and the calyceal without residual stones was found. Conclusion: Laparoscopy combined with ureteroscopy for the treatment of UPJO with calyceal calculus is a safe, effective, economical and feasible surgical method.