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目的:探讨肾盂输尿管连接部梗阻(UPJO))的后腹腔镜手术治疗方法及临床价值。方法:对20例UPJO患者行后腹腔镜肾盂成形术治疗。结果:全部患者均一次性手术成功.手术时间90～150min,平均120min;术中出血量20～50 ml.平均35 ml;术后住院时间7～10天.平均8天。术后1例出现漏尿.术后10天消失.余无并发症。随访6～52个月,平均20个月,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狭窄,肾积水得到改善。结论:后腹腔镜肾盂成形术治疗肾盂输尿管连接部梗阻是安全有效的微创手术方法。
Objective: To investigate the method and clinical value of retroperitoneal laparoscopic surgery for ureteropelvic junction obstruction (UPJO). Methods: Twenty cases of UPJO underwent laparoscopic pyeloplasty. Results: All the patients were successful in one operation, the operation time was 90-150 minutes with an average of 120 minutes, the intraoperative blood loss was 20-50 ml, the average was 35 ml, and the postoperative hospital stay was 7-10 days with an average of 8 days. 1 case of leakage of urine occurred after 10 days disappeared. I no complications. Follow-up 6 to 52 months, an average of 20 months, low back pain symptoms disappeared.This group of patients underwent B-ultrasound, IVU examination showed ureteropelvic junction anastomotic stenosis, hydronephrosis improved. Conclusions: Retroperitoneal pyeloplasty for ureteropelvic junction obstruction is a safe and effective minimally invasive surgical approach.