Treatment of ureteropelvic junction stricture by anderson hynes pyeloplasty and double J tube internal drainage

ZHANG Ronggui; et al

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Treatment of ureteropelvic junction stricture by anderson hynes pyeloplasty and double J tube internal drainage

更新时间：2024-01-17

- Treatment of ureteropelvic junction stricture by anderson hynes pyeloplasty and double J tube internal drainage
- Journal of Chongqing Medical University Issue 2, Pages: 210-211(2007)
- 作者机构：
  
  1. 重庆医科大学附属第二医院泌尿外科
  2. 重庆医科大学附属第二医院泌尿外科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：
  CLC： R699
- Published：2007，
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[1]张荣贵,张唯力,徐光勇,胡自力.离断性肾盂成形双J管内引流术治疗肾盂输尿管连接部狭窄[J].重庆医科大学学报,2007(02):210-211.

ZHANG Ronggui, et al. Treatment of ureteropelvic junction stricture by anderson hynes pyeloplasty and double J tube internal drainage. [J]. Journal of Chongqing Medical University (2):210-211(2007)
[1]张荣贵,张唯力,徐光勇,胡自力.离断性肾盂成形双J管内引流术治疗肾盂输尿管连接部狭窄[J].重庆医科大学学报,2007(02):210-211. DOI：

ZHANG Ronggui, et al. Treatment of ureteropelvic junction stricture by anderson hynes pyeloplasty and double J tube internal drainage. [J]. Journal of Chongqing Medical University (2):210-211(2007) DOI：

摘要

目的:探讨肾盂输尿管连接部（UPJ）狭窄的手术治疗方法。方法:采用Anderson-Hynes离断性肾盂成形双J管内引流术治疗肾盂输尿管连接部狭窄58例

常规采用双J管作支架内引流

留置导尿管5～7天

术后4～8周拔除双J管

3～12个月行静脉肾盂造影复查。结果:58例手术均获成功。肾盂积水好转

狭窄解除

吻合口通畅

近期并发症5例。随访6个月～2年

未出现吻合口再狭窄、肾积水加重等远期并发症。结论:离断性肾盂成形双J管内引流术是治疗肾盂输尿管连接部狭窄的有效方法

术中使用双J管能减少术后吻合口狭窄的发生

提高手术的成功率。

Abstract

Objectives:To evaluate the operative treatment for ureteropelvic junction(UPJ)stricture.Methods:A total of 58 cases of UPJ stricture had double-J tubes placed intraoperatively during Anderson-Hynes pyeloplasty.Urethral catheterization was maintained for 5~7 day

and the double-J tube was removed on cystoscopy 4 to 8 weeks after operation.The outcome was evaluated with ultrasonography or intravenous urography in 3 to 12 months postoperatively.Results:Success rate of management was 100%

stricture was relieved successfully in all patients

and hydronephrosis improved.Only 5 cases had complication in the near future.During follow-up of 6 months to 2 years

long-term complications

like stricture of the anastomotic mouth

and worsened kidney hydrocele

were not observed.all patients have been with satisfactory long-term results.Conclusions:Anderson-Hynes pyeloplasty was an effective method for the treatment of UPJ stricture.A double-J tubes in the operation could reduce the incidence of anastomotic mouth stricture and promote the success rate of operation.

关键词

肾盂输尿管连接部狭窄外科手术

Keywords

Ureteropelvic junction stricturesurgeryoperation

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