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目的:探讨后腹腔镜行肾固定术的临床效果。方法:14例肾下垂患者,其中8例患者在肾中、下极被膜上“8”字缝合各1针,使用自制钩针勾出缝线将之固定于侧腹壁上;6例患者将肾周筋膜于肾下极处折叠缝合,将肾脏托与上方固定。随访4~12月,评价术后肾移位及肾积水的改善情况。结果:术后静脉肾盂造影示14例患者肾积水均有不同程度地改善,其中8例轻度积水恢复正常,所有患者术后肾脏不再移动。结论:采用后腹腔镜行肾固定术治疗肾下垂效果可靠,手术操作简便,损伤小,术后恢复快,但远期疗效有待进一步随访观察。
Objective: To investigate the clinical effect of retroperitoneal laparoscopic nephrectomy. Methods: Fourteen patients with renal ptosis, of which 8 patients in the kidney, the lower pole of the membrane on the “8 ” word stitches of the 1 stitches, the use of homemade hook needle hook suture to be fixed on the side of the abdominal wall; 6 patients The perirenal fascia is folded and sutured at the lower pole of kidney, and the kidney is fixed with the upper part. Follow-up from 4 to December, to evaluate the improvement of postoperative renal transposition and hydronephrosis. Results: Postoperative intravenous pyelography showed that 14 cases of hydronephrosis were improved to varying degrees, including 8 cases of mild water returned to normal, all patients no longer move the kidney. Conclusion: The retroperitoneal laparoscopic nephrectomy is effective in treating renal ptosis, the operation is simple, the injury is small and the postoperative recovery is fast. But the long-term curative effect remains to be followed up.