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目的探讨应用显微外科技术治疗肾盂输尿管连接部梗阻的临床效果。方法回顾分析我院1994年至2004年48例肾盂输尿管连接部梗阻患者的临床资料。结果48例肾盂输尿管连接部梗阻,32例应用显微外科技术行肾盂输尿管连接部成形术,均一次手术成功,随访0.5~6年均无肾积水及吻合口狭窄。16例未采用显微外科技术,术后再发梗阻4例。结论应用显微外科技术治疗肾盂输尿管连接部梗阻手术效果较好,技术设备及技术操作要求不高,容易掌握,值得推广。
Objective To investigate the clinical effect of microsurgical treatment of ureteropelvic junction obstruction. Methods The clinical data of 48 patients with ureteropelvic junction obstruction from 1994 to 2004 in our hospital were retrospectively analyzed. Results 48 cases of ureteropelvic junction obstruction, 32 cases of microsurgical techniques of ureteropelvic junctional angioplasty, a successful operation, followed up 0.5 to 6 years were no hydronephrosis and anastomotic stenosis. 16 cases did not use microsurgical techniques, postoperative recurrence of obstruction in 4 cases. Conclusion The application of microsurgical techniques in the treatment of ureteropelvic junction obstruction is better, less technical equipment and technical operation, easy to grasp, and worthy of promotion.