经腹入路腹腔镜下肾盂成形术治疗28例肾盂输尿管连接部梗阻的临床观察

摘要

目的：探讨经腹入路腹腔镜下肾盂成形术治疗肾盂输尿管连接部梗阻（UPJO）的手术方法及临床效果。方法：回顾性分析2008年8月-2012年6月，对28例UPJO患者行经腹入路腹腔镜下离断性肾盂成形术的方法及效果。结果：28例患者均一次性手术成功，手术时间85~160 min，平均125 min；术中出血量20~60 mL，平均32 mL；术后住院时间6~9 d，平均7.2 d；术后无严重并发症发生。随访6~36个月，平均18个月，患者腰痛症状消失。本组患者术后行B超、IVU检查示肾盂输尿管连接部吻合口无梗阻；肾积水得到改善。结论：经腹入路腹腔镜下离断性肾盂成形术是治疗UPJO的安全有效的微创手术方法。%Objective:To evaluate the operation technique and clinical effects of transperitoneal laparoscopic pyeloplasty for ureteropelvic junction obstruction(UPJO). Method:28 cases with UPJO undergoing transperitoneal laparoscopic pyeloplasty were analyzed retrospectively. Result:All the operations were completed successfully. The operative time was 85 to 160 min,average 120 min. The blood loss was 20 to 60 mL,average 32 mL. The postoperative hospital stay was 6 to 9 d,an average of 7.2 d. No serious complication was found. Postoperative follow-up time was 6 to 36 months,an average of 18 months,the symptom of lumbodynia disappeared. There was no stricture at UPJ and hydronephrosis was remitted obviously in all patients. Conclusion:Transperitoneal laparoscopic pyeloplasty for UPJO is a effective,safe,minimally invasive surgical techniques.