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作者对肾盂输尿管连接部梗阻或输尿管上段狭窄的21例病人进行了肾盂输尿管内切开术。男17例,女4例。年龄5～67岁。双侧1例,共22次操作,18次为肾盂输尿管连接部,4次输尿管上段。右侧10次,左侧12次。原发性肾盂输尿管连接部梗阻16次,先天性输尿管狭窄2次,术后狭窄4次。全麻下病人取截石位,通过膀胱镜向肾盂内置人输尿管导管或0.038寸导丝。然后改为俯卧位,通过中后肾盏建立经皮肾造瘘通道,使之尽可能垂直于肾盂输尿管连接部,扩张肾造瘘通道,置入28F的Amplatz镜
The author of the ureteropelvic junction obstruction or upper ureteral stenosis in 21 patients underwent ureteropelvic incision. 17 males and 4 females. Age 5 to 67 years old. Bilateral in 1 case, a total of 22 operations, 18 times for the ureteropelvic junction, 4 times the upper ureter. Right 10 times, left 12 times. Primary ureteropelvic junction obstruction 16 times, 2 cases of congenital ureteral stricture, postoperative stenosis 4 times. Patients under general anesthesia to take lithotomy position, through the ureter to the ureter built-in ureter catheter or 0.038 inch guide wire. And then to the prone position, through the calf after the establishment of percutaneous nephrostomy channels, as far as possible perpendicular to the ureteropelvic junction, expansion of renal fistula access, 28F Amplatz mirror