经皮肾镜同期治疗肾盂旁囊肿合并肾盂输尿管连接部狭窄的临床观察

发布时间：2018-12-06 17:29

【摘要】：目的探讨经皮肾镜途径同期治疗肾盂旁囊肿合并肾盂输尿管连接部狭窄(UPJO)的安全性和可行性。方法选取单侧单发肾盂旁囊肿合并UPJO患者32例,其中并发同侧肾结石25例。合并结石者先行微创经皮途径钬激光碎石术后,经此通道行肾盂旁囊肿钬激光切开内引流术,UPJO行顺行高压球囊扩张术,术后留置海马管引流3~6个月。分析囊肿开窗内引流、狭窄高压扩张手术时间及术后住院时间。结果患者肾盂集合分离系数术前(55.93±5.85)与术后1个月(46.17±6.33)、3个月(40.47±6.06)、6个月(33.81±7.05)和9个月(28.95±7.92)相比有明显改善,差异有统计学意义(P0.05)。术后6个月与9个月相比,差异有统计学意义(P0.05),随着时间的推移,积水分离系数减小。结论经皮微通道途径同期治疗肾盂旁囊肿合并UPJO,有效缓解临床症状,减低集合系统分离系数,疗效确切,行之安全有效。
[Abstract]:Objective to evaluate the safety and feasibility of percutaneous nephroscopy in the treatment of parapelvic cysts with ureteropelvic junction stenosis (UPJO). Methods 32 patients with unilateral parapelvic cysts complicated with UPJO were selected, including 25 patients with ipsilateral renal calculi. The patients with calculi underwent minimally invasive percutaneous holmium laser lithotripsy, parapelvic cyst with holmium laser incision and internal drainage, UPJO with concomitant high pressure balloon dilatation. The drainage of hippocampal tube was retained for 3 ~ 6 months. The operative time of cyst fenestration, stricture and high pressure dilatation and postoperative hospitalization time were analyzed. Results compared with postoperative 1 month (46.17 卤6.33), 3 months (40.47 卤6.06), 6 months (33.81 卤7.05) and 9 months (28.95 卤7.92), the combined separation coefficient of renal pelvis (55.93 卤5.85) was significantly improved. The difference was statistically significant (P0.05). There was significant difference between 6 months and 9 months after operation (P0.05), and the separation coefficient of hydrops decreased with the passage of time. Conclusion Percutaneous microchannel approach for parapelvic cysts with UPJO, is effective in relieving clinical symptoms and reducing the separation coefficient of collecting system.
【作者单位】：河北大学;河北大学附属医院泌尿外科;
【分类号】：R699

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