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目的:评价后腹腔镜手术治疗肾盂输尿管连接部梗阻(UPJO)的手术技巧和临床效果。方法:对40例经过后腹腔镜手术的肾盂输尿管连接部梗阻病例的临床资料进行回顾性分析。40例患者根据发病机理不同,在后腹腔镜下16例行肾盂输尿管连接部周围压迫组织松解术,14例行Y-V成形术,10例行离断成形术。术后随访3~24个月。结果:所有患者手术均顺利,患者静脉肾盂造影(IVU)均提示造影剂通过良好,肾积水均得到明显改善。结论:后腹腔镜治疗肾盂输尿管连接部梗阻创伤小,患者术后痛苦小、恢复快、住院时间短、疗效显著,可以作为肾盂输尿管连接部梗阻治疗的首选方法。
Objective: To evaluate the surgical technique and clinical effect of retroperitoneal laparoscopic surgery for ureteropelvic junction obstruction (UPJO). Methods: The clinical data of 40 patients with ureteropelvic junction obstruction after laparoscopic surgery were analyzed retrospectively. According to the different pathogenesis, 40 patients underwent laparoscopic ureteropelvic junction with 16 patients underwent laparotomy, 14 underwent Y-V plasty and 10 underwent segmental angioplasty. The patients were followed up for 3 to 24 months. Results: All the patients underwent surgery successfully. Intravenous pyelography (IVU) showed that the contrast agent passed well and hydronephrosis was significantly improved. Conclusion: Retroperitoneal laparoscopic ureteropelvic junction obstruction trauma, small postoperative pain, fast recovery, shorter hospital stay, the effect is significant, can be used as the preferred method of treatment of ureteropelvic junction obstruction.