腹腔镜联合经皮短软镜治疗肾盂输尿管连接部狭窄合并肾结石的研究

Laparoscopy and short poly FURS for treatment of ureteropelvic junction obstruction combined with renal stones

摘要:

评价腹腔镜联合经皮短软镜治疗肾盂输尿管连接部狭窄（UPJO）合并肾结石的临床疗效。方法  2014年5月-2016年11月，20例于该院住院的UPJO患者，行腹腔镜肾盂输尿管连接部成形术同时术中利用经皮短软镜行结石碎石取石术，回顾性分析该组患者手术前后的临床资料。结果  该组患者均Ⅰ期手术成功，手术前后血红蛋白下降率无明显变化。无需输血，术后第1天复查尿路平片观察DJ管位置，术后3个月返院拔出DJ管，术后随访6个月～1年，患者恢复好，无远期并发症。结论  腹腔镜联合经皮短软镜行Ⅰ期肾盂输尿管连接部成形术同时行肾结石碎石清石术，效果满意，无明显手术并发症，值得推广。

Abstract:

Abstract: Objective To evaluate the clinical efficacy of laparoscopy and short poly FURS in treatment of UPJO combined with renal stones. Methods From May 2014 to November 2016, 20 patients with ureteropelvic junction stricture in our hospital were treated with Laparoscopy and short poly FURS lithotripsy, the clinical data of the patients before and after operation were retrospectively analyzed. Results The patients in this group were successfully operated in stage I, and the hemoglobin descent rate did not change significantly before and after operation. No need of blood transfusion, the first day after the review of urinary tract plain film observed DJ tube position, postoperative back to hospital in March pulled out of DJ tube, postoperative follow-up 6 months to 1 year, the patient recovered well, no long-term complications. Conclusion Laparoscopy and short poly FURS lithotripsy, has satisfactory effects and no significant complications which should be promoted.