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《后腹腔镜离断性肾盂成形术治疗肾盂输尿管连接部梗阻的临床分析及手术新进展.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、后腹腔镜离断性肾盂成形术治疗肾盂输尿管连接部梗阻的临床分析及手术新进展【摘耍】目的：探讨腹膜后腹腔镜离断性肾盂成形术治疗输尿管连接部桢阻(UPJO)的理论基础、手术技巧、临床效果及UPJ0手术新进展。方法：冋顾性分析经后腹腔镜肾盂成形术治疗的46例UPJO患者的临床资料。结果:手术时间75-400min,平均186min；术中出血量5~30ml,平均20ml；术后住院时间6~20止平均7.5d。围手术期尿漏2例，1例因术后吻合口出血导致，1例因术后护理不当夹闭尿管造成，均保守治疗治愈。45例术后随访肾积水及肾功能均得到改善，1例患者因肾积水加重再次行开放性肾盂成形术。结论：经后腹腹腔镜
2、下离断性肾盂成形术治疗初发UPJO具有安全、成功率高、无腹腔并发症筹优点，可以进一步的推广和应用。后腹腔镜肾盂成形术能否用于第二次肾盂输尿管连接部梗阻的患者还需耍进一步的探索。【关键词】肾盂输尿管连接部梗阻；腹腔镜；肾盂成形术；手术新进展ClinicalAnalysisofRetroperitonealLaparoscopicDismembered卩yeloplastyforUreteropelvicJunetionObstructionandSurgeryNewProgress/WANGYing-lei,MENGLin,XIAOLin,etal.//MedicalInnovation
3、ofChina,2013,10(15)：024-026[Abstract】Objective：Tostudytheoreticalbasis,operationtechniquesandclinicaleffectforureteropelvicjunctionobstructionbyretroperitoneallaparoscopicdismemberedpyeloplastyandtostudysurgerynewprogressofUPJO.Method：Theclinicaldataof46patientswithUPJOwhounderwentretroperitonea
4、llaparoscopicpyeloplastywereretrospectivelyanalyzed・Result：Themeanoperatingtimewas186minutes(rangefrom75to400),themeanbloodlosswas20ml(rangefrom5to30),andthemeanpostoperativehospitalizationdayswere7.5days(rangefrom6to20)•卩ostoperativefol1ow-upofhydronephrosis且ndrenalfunctionwereimproved・Inperiop
5、erationperiod,twocasespresentedwithurinaryleakage,onebecauseofpostoperativeanastomoticstomableeding,anotherimpropernursingofclosingcatheter,twocaseswerecuredbyconservativetreatment.45operationshadbeensuccessful,hydronephrosisofonemalepatientwasaggravated,whichwasoperatedbyopenpyeloplasty・Conclus
6、ion:RetroperitoneallaparoscopicpyeloplastyforprimaryUPJOhastheadvantagesofsecurity,highsuccessrateandnoabdominalcomplicationsetc,andcanbefurtherpromotionandapplication.WhetherretroperitoneallaparoscopicpyeloplastycanbeusedforthesecondUPJOalsoneedsfurtherexploration.[Keywords]Ureteropelvicjunctio
7、nobstruction；Laparoscopy；卩yeloplasty；SurgerynewprogressFirst-authorJsaddress：AffiliatedHospitalofJiningMedicalUniversity,Jining272000,Chinadoi：10.3969/j.issn.1674-4985.2013.15.012近年来，后腹腔镜下肾盂成形术(retroperitoneallaparoscopicpye
