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目的探讨腹腔镜辅助经腹路径肾盂成形术在儿童肾盂输尿管连接部梗阻中的应用。方法对2006年2月至2008年3月,收治的42例肾盂输尿管连接部梗阻肾积水患儿采用腹腔镜辅助经腹路径肾盂成形术。结果42例手术成功40例,中转开放手术2例。手术时间85～150min,平均110min;术中出血10～40ml,平均15ml。随访40例,B超示肾积水明显改善。25例IVU示患肾形态、功能明显改变,但肾盂有不同程度扩张。结论腹腔镜辅助经腹路径肾盂成形术治疗肾盂输尿管连接部梗阻创伤小,安全,有效,有很好的应用前景。
Objective To investigate the application of laparoscopic assisted transabdominal pyeloplasty in the obstruction of ureteropelvic junction in children. Methods From February 2006 to March 2008, 42 cases of renal pelvic hydronephrosis with renal pelvis and ureteropelvic junction obstruction were treated with laparoscopic abdominal translaminar pyeloplasty. Results 42 cases of successful surgery in 40 cases, 2 cases of open surgery. Operation time 85 ~ 150min, an average of 110min; intraoperative bleeding 10 ~ 40ml, an average of 15ml. Follow-up 40 cases, B ultrasound showed significant improvement of hydronephrosis. 25 cases of IVU showed renal morphology, the function was significantly changed, but the renal pelvis have varying degrees of expansion. Conclusion Laparoscopic assisted transthoracic pyeloplasty in the treatment of ureteropelvic junction obstruction trauma is small, safe and effective, and has good application prospects.