论文部分内容阅读
目的:评估经皮肾镜内切开术治疗继发性肾盂输尿管连接部狭窄(UPJO)的疗效。方法:2008年3月~2011年12月收治的肾盂成型术后复发或肾、输尿管上段手术后继发的UPJO患者23例,采用经皮肾镜下内切开和(或)高压球囊内扩张术治疗,术后根据影像学和主观症状缓解情况,评估手术成功率。结果:经皮肾镜术后随访6~48个月,平均23个月,手术成功率87%(20/23),3例失败,1例再次行经皮肾镜内切开,1例行开放肾盂离断成型术获成功,1例定期更换双J管。结论:对于继发性UPJO的患者,经皮肾镜和(或)高压球囊内扩张术有较好的手术疗效。
PURPOSE: To evaluate the efficacy of percutaneous nephroscopy (VATS) in the treatment of secondary ureteropelvic junction stenosis (UPJO). METHODS: Twenty-three patients with UPJO secondary to retroperitoneal recurrence after renal pelvis or ureter surgery from March 2008 to December 2011 were treated with percutaneous nephroscopy and / or high-pressure balloon dilatation Surgery, postoperative imaging and subjective symptom relief according to assess the success rate of surgery. Results: Percutaneous nephrolithotomy was followed up for 6 to 48 months with an average of 23 months. The success rate was 87% (20/23), 3 cases failed. One case underwent percutaneous nephroscopy and one case was open Pyeloplasty was successful, 1 case of regular replacement of double J tube. CONCLUSIONS: Percutaneous nephrolithotomy and (or) high pressure balloon dilatation have a better operative outcome in patients with secondary UPJO.