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目的 :提高对肾盂输尿管连接部梗阻的诊疗效果。方法 :总结我院 1992～ 1999年 37例肾盂输尿管连接部梗阻的诊疗情况 ,行离断式肾盂成形 2 3例 ,非离断式肾盂成形 9例 ,成形术后行肾折叠缝合 5例 ,放置支架肾造瘘管 2 8例 ,双丁管引流 4例 ,患肾切除 5例。结果 :32例成形术后无尿瘘及吻合口狭窄 ,5例并行肾折叠缝合术 ,随访 1.5～ 3年。肾脏轻至中度积水。结论 :肾盂输尿管连接部梗阻患者 ,一旦确诊应及时治疗 ,肾盏扩张严重并行肾折叠缝合术 ,应用双 J管内引流
Objective: To improve the diagnosis and treatment of ureteropelvic junction obstruction. Methods: The diagnosis and treatment of 37 cases with ureteropelvic junction obstruction in our hospital from 1992 to 1999 were retrospectively analyzed. Twenty-three cases were divided into broken pyeloplasty and non-interrupted pyeloplasty in 9 cases. After plastic surgery, 5 cases of renal folds were sutured and placed Stent 28 cases of renal fistula, double-Ding drainage in 4 cases, 5 cases of nephrectomy. Results: There were no urinary fistulas and anastomotic stenosis in 32 cases, and 5 cases were treated with renal fold suture. The patients were followed up for 1.5 to 3 years. Kidney mild to moderate water. Conclusion: Patients with ureteropelvic junction obstruction, once diagnosed should be treated promptly, renal calyx expansion and severe renal folding suture, the application of double J tube drainage