Operative treatment for ureteropelvic junction obstruction
10.3760/cma.j.issn.1000-6702.2010.07.007
- VernacularTitle:肾盂输尿管连接部梗阻的开放手术治疗
- Author:
Haibo LIU
;
Chuize KONG
;
Yuanjun JIANG
;
Zeliang LI
;
Xiankui LIU
;
Jianbin BI
;
Zhenhua LI
- Publication Type:Journal Article
- Keywords:
Ureteropelvic junction obstruction;
Hydronephrosis;
Pyeloplasty
- From:
Chinese Journal of Urology
2010;31(7):456-458
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical features and summarize diagnosis and therapeutic efficacy for ureteropelvic junction obstruction(UPJO). Methods Two hundred and twenty-two patients with UPJO were treated from 2000 to 2008,including 155 males and 67 females:the age rangeed from 13 to 75 and mean age was 29 years.One hundred and seventy-three cases presented with back pain;19 cases with urine infection;12 cases with abdomen bump;7 cases with macroscopic hematuria;11 cases found by B-ultrasound examine.Etiological factors included 185 patients of ureteropelvic junction stenosis;18 cases of high location of the junction;19 cases which were diagnosed UPJO due to benign oppression,including fiber cords and peculiar vessels.A total of 222 cases of surgical procedures were conducted,of them Anderson-Hynes dismembered pyeloplasty was conducted for 191 cases,fiber cords and peculiar vessels were relieved for 19,nephrectomy for 12 cases because of nonfunction. Results One hundred and ninety-one cases who underwent Anderson-Hynes dismembered pyeloplasty were all succeeded with operation.They were followed up for 6 months to 8years with a mean of 38 months.B-ultrasound and IVU showed that hydronephrosis was obviously relieved.The clinical symptoms disappeared in all cases.The levels of serum creatinine of 7 cases who had higher ereatinine recovered. Conclusion Anderson-Hynes dismembered pyeloplasty could be a good choice and effective method for the treatment of UPJO.
