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目的探讨肾盂输尿管连接部(UPJ)狭窄的手术治疗方法。方法对108例离断式肾盂成形术(Anderson-Hynes’术)患者的围手术期的各种临床指标和疗效进行回顾性分析。结果一次性手术成功106例,二次手术成功2例。其中90例经6个月￣9年随访,肾积水明显改善82例(91.1%),肾积水改善不明显但未加重8例。结论离断式肾盂成形式是治疗UPJO的首选术式。
Objective To investigate the surgical treatment of ureteropelvic junction (UPJ) stenosis. Methods A retrospective analysis of the perioperative clinical data and efficacy of 108 patients with Anderson-Hynes’ surgery was performed. Results One-off surgery was successful in 106 cases, two cases of successful surgery in 2 cases. Among them, 90 cases were followed up for 6 months to 9 years, the improvement of hydronephrosis was significantly improved in 82 cases (91.1%), and the improvement of hydronephrosis was insignificant but not aggravated in 8 cases. Conclusion Fractured pyeloplasty is the first choice for the treatment of UPJO.