经皮腔内顺行球囊扩张结合内切开术治疗肾盂输尿管连接部梗阻初步疗效观察.pdf

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1、189杂志主页：WWW．cjmiu．com微创泌尿外科杂志2013年5月第2卷第3期经皮腔内顺行球囊扩张结合内切开术治疗肾盂输尿管连接部梗阻初步疗效观察李建业1郭和清1孙斌1姚志勇1周高标1穆大为1刘红明1李建兴212解巍放军空萋军总医船院泌瓣尿外科一10014。2．[摘要嚣]目瓣的：霈观察经嚣皮腔内黧顺行墨球囊扩嚣张结合嚣内切开篇术治淼疗肾盂鬣输尿管荔连接C辫Orn獬瓣‰以sMs例e患一者梗篇阻位于淼左侧嚣7例，磊右侧1焉0例，黧原发黧性UPJ雾O12例。(合并1肾篇结石7戮例)，二经皮手术期无严重并发症发生。术后随访7～31个月，疗效满意。结论：经皮腔内顺行球囊扩张结合内切开

2、术是治疗UPJO安全、有效的手术方式，具有微创、患者耐受度好、术后恢复快的特点，可有选择性的作为治疗UPJO的初始治疗手段。[关键词]。肾盂输尿管连接部梗阻；球囊扩张；肾盂内切开术[中图分类号]R691．2[文献标识码]A[文章编号]2095—5146(2013)03—189—03Preliminaryobservationonthetreatmentofureteropelvicjunctionobstructionwithpercutaneousballoondilatationcombinedwithendopyelotomy11111LiJianyeGuoHeqingSu

3、nBinYaoZhiyongZhouGaobiaoMu2DaweilLiuHongmin91LiJianxing(1DepartmentofUrology，GeneralAirForceHospitalofPLA，Beijing，100142，Chi—na；2DepartmentofUrology，PekingUniversityPeople'sHospital)Correspondingauthor：GuoHeqing，guoheqing@sina．cornAbstractObjective：Toevaluatetheclinicalefficacyofpercutaneous

4、balloondilatationcombinedwithendopy—elotomyintheminimallyinvasivetreatmentofureteropelvicjunctionobstruction(UPJO)．Methods：BetweenMarch2010andMarch2012．17ofUPJOhadballoondilatationcombinedwithpatientsundergonepercutaneousendopy—elotomy．Clinicaldataandfollow—updatawereanalyzedren’ospectively．R

5、esults：Sevenpatientsobstructionwereontheleftandtenwereontheright．Amongthepatients，therewere12primaryUPJOwhich7combinedwithrenalcalculus，2hadundergonePCN，1hadundergoneureterolithotomy，1hadundergonepyeloplastyandlhadunderg—onelaparoscopicpyeloplasty．Thelengthofstrictureofallpatientswaslessthan2

6、cm．Alloperationswereper—formedsuccessfullyandnoseriouscomplicationhappened．17patientswerefollowed—upfrom7tO31monthsandthecurativeeffectwassatisfactory．Conclusions：PercutaneousballoondilatationcombinedwithendopyelotomyissafeandeffectivefortreatmentofUPJO，whichcanbeusedastheinitialtreatmentsele

7、ctively．Keywordsureteropelvicjunctionobstruction；balloondilatation；endopyelotomy’肾盂输尿管连接部梗阻(ureteropelvicjunc—42(21～71)岁，左侧7例，右侧10例，原发性UPJOtionobstruction，UPJO)是导致肾脏积水乃至。肾脏12例(合并肾结石7例)，经皮肾镜碎石术后2例，功能受损的常见疾患，目前其治疗方法主要包括。肾肾盂输尿管连接部结石开放取石术后l例，开放肾盂