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目的探讨小切口治疗肾盂输尿管连接部梗阻(UPJO)的临床疗效。方法回顾性分析福建省妇幼保健院2010—2013年收治的41例小儿肾盂输尿管连接部梗阻患者的临床资料,其中中度肾积水26例,重度15例。41例均行腰部小切口Anderson-Hynes离断性肾盂成形术。结果患者平均手术85min,术中出血5~15mL,术后随访3~8个月,随访时均进行B超及静脉肾盂造影(IVP)检查,40例肾积水缩小、肾功能明显改善,加重1例,经再次手术治愈。结论腰部小切口离断性肾盂成形术治疗疗效可靠,值得临床推广。
Objective To investigate the clinical effect of small incision in the treatment of ureteropelvic junction obstruction (UPJO). Methods The clinical data of 41 cases with pediatric ureteropelvic junction obstruction admitted in Fujian MCH from 2010 to 2013 were retrospectively analyzed. Among them, 26 cases were moderate hydronephrosis and 15 cases were severe. 41 cases were performed small incision Anderson-Hynes amputation pyeloplasty. Results The average operation time was 85 min, intraoperative blood loss was 5 ~ 15 mL, and the patients were followed up for 3 to 8 months. All the patients underwent B-mode ultrasonography and intravenous pyelography (IVP) at the time of follow-up. 40 patients had hydronephrosis, renal function improved significantly, 1 case, cured by another operation. Conclusion Small lumbar incision pyeloplasty is effective and worthy of clinical promotion.