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目的探讨后腹腔镜手术治疗肾盂输尿管连接部梗阻(ureteropeluic junction obstruction,UPJO)的手术技巧和临床效果。方法回顾性分析2006年7月2009年10月59例采用后腹腔镜手术治疗UPJO患者的临床资料。后腹腔镜下行UPJO周围压迫组织松解术18例,Y-V成形术25例,离断成形术16例。结果术后随访3～36个月。所有患者手术均顺利完成。静脉肾盂造影均提示造影剂通过良好,肾积水均得到明显改善。结论后腹腔镜治疗UPJO创伤小,患者术后痛苦小、恢复快、住院时间短、疗效显著,可作为UPJO治疗的首选治疗方法 。
Objective To investigate the surgical technique and clinical effect of retroperitoneoscopic laparoscopic ureteropelvic junction obstruction (UPJO). Methods The clinical data of 59 patients who underwent retroperitoneal laparoscopic surgery for UPJO in July 2006 and October 2009 were analyzed retrospectively. Retroperitoneal laparoscopic UPJO around the compression tissue loosening in 18 cases, Y-V plasty in 25 cases, disconnection in 16 cases. Results The patients were followed up for 3 to 36 months. All patients were successfully completed. Intravenous pyelography were prompted by good contrast agent, hydronephrosis have been significantly improved. Conclusion The retroperitoneal laparoscopic treatment of UPJO trauma is small, the patient has less pain, faster recovery, shorter hospital stay, and significant curative effect. It can be used as the preferred treatment for UPJO.