CAJ | 학술논문

目的探讨后腹腔镜下离断式肾盂成形术治疗小儿肾盂输尿管连接部梗阻的临床应用价值.方法采用经腹膜后径路施行腹腔镜下离断性肾盂成形术治疗小儿肾盂输尿管连接部梗阻患者16例.患者中男11例,女5例,年龄3.5 ～12岁,平均年龄6.5岁.右侧7例,左侧9例.异位血管压迫1例,合并肾盂结石1例.结果 16例手术均获成功.手术时间110～ 175min,平均130min;出血量20～ 60mL,平均35mL.术后住院时间6～11d,平均8d.随访3～36个月,平均18个月;肾盂输尿管连接部吻合口无狭窄,肾积水得到改善.结论小儿后腹腔镜下离断式肾盂成形术安全、有效、微创、术后恢复快,可以作为治疗小儿肾盂输尿管连接部梗阻的有效手术方法,值得临床推广.
목적 탐토후복강경하리단식신우성형술치료소인신우수뇨관련접부경조적림상응용개치.방법 채용경복막후경로시행복강경하리단성신우성형술치료소인신우수뇨관련접부경조환자16례.환자중남11례,녀5례,년령3.5 ～12세,평균년령6.5세.우측7례,좌측9례.이위혈관압박1례,합병신우결석1례.결과 16례수술균획성공.수술시간110～ 175min,평균130min;출혈량20～ 60mL,평균35mL.술후주원시간6～11d,평균8d.수방3～36개월,평균18개월;신우수뇨관련접부문합구무협착,신적수득도개선.결론 소인후복강경하리단식신우성형술안전、유효、미창、술후회복쾌,가이작위치료소인신우수뇨관련접부경조적유효수술방법,치득림상추엄.
Objectives To investigate the clinical application of retroperitoneoscopic dismembered pyeloplasty for pediatric ureteropelvic junction obstruction(UPJO).Methods Retroperitoneoscopic dismembered pyeloplasty was performed on 16 patients of pediatric ureteropelvic junction (UPJ)obstruction.There were 11 men and 5 women.Their age ranged from 3.5 to 12 years (mean,6.5 years).The right 7 cases and left 9 cases.There were one case was compression from crossing vessels and one case was complicated with pelvic stones.Results Retroperitoneoscopic dismembered pyeloplasty for pediatric ureteropelvic junction obstruction was performed successfully in all 16 cases.The operative time ranged from 110 to 175 min(mean,130min).The blood loss ranged from 20 to 60 ml(mean,35 ml).The postoperative hospital stay time ranged from 6 to 11 day (mean,8d).During the follow up ranged from 3 to 36 months (mean,18 months),no anastomotic stoma stricture of UPJ developed; and hydronephrosis resolved.Conclusions Retroperitoneoscopic dismembered pyeloplasty is a safe,effective and mini-invasive procedure for pediatric ureteropelvic junction obstruction,with a rapid postoperative recovery.It will be the ideal treatment forUPJO in pediatric patients and worthy to be extended of clinical.