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目的总结经12肋小切口离断式肾盂成型术的临床应用经验。方法2004年8月～2008年5月本院收治的28例肾盂输尿管连接部梗阻的患者接受经12肋小切口离断式肾盂成型术,对其手术入路、临床效果及并发症进行回顾性分析总结。结果28例手术均顺利完成,无需延长切口。手术时间55～140min(平均91min),术中估计出血量20～210mL(平均53mL)。术后36h内恢复进食。1例术后出现漏尿,5d后消失。随访2～37月,27例肾积水减少,1例拔除输尿管支架后肾积水加重,予延长支架留置时间。结论经12肋小切口离断式肾盂成型术创伤小、恢复快、疗效确切,费用较低,是一种可以选择的微创手术方式。
Objective To summarize the experience of clinical application of 12-pellet incision pyeloplasty. Methods From August 2004 to May 2008, 28 patients with obstruction of the renal pelvis and ureteropelvic junction in our hospital underwent 12 small incision pyeloplasty. The surgical approach, clinical effect and complication were retrospectively reviewed analysis Summary. Results All the 28 cases were successfully completed without incision. The operation time ranged from 55 to 140 minutes (average 91 minutes). The estimated blood loss during operation was 20 to 210 mL (mean, 53 mL). After 36h recovery diet. One case had leakage of urine and disappeared after 5 days. Follow-up from 2 to 37 months, 27 cases of hydronephrosis decreased, 1 case of hydronephrosis after removal of ureteral stent heavier, to extend the stent indwelling time. Conclusion The small incision of 12 small incision pyeloplasty with less trauma, rapid recovery, exact effect and low cost is an optional minimally invasive surgical approach.