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目的探讨腹腔镜技术对肾脏旋转不良并肾盂输尿管上段结石的治疗价值。方法对7例肾脏旋转不良并发输尿管上段结石采用腹腔镜切开取石术治疗。肾脏旋转不良病变位于左肾4例,右肾3例。其中4例肾盂结石,3例输尿管上段结石。有3例并存高位肾盂输尿管连接部狭窄(UPJO),术中同时行输尿管离断成形术。结果所有结石均成功一次性取出,平均手术时间为60 min(45~90 min)。术后恢复均良好,随访6~12个月,无并发症发生。结论腹腔镜是肾脏旋转不良并发肾盂输尿管上段结石的有效手术方法 ,而且可以同期处理并存的UPJO。
Objective To investigate the value of laparoscopy in the treatment of renal failure and renal pelvis and ureter upper calculus. Methods 7 cases of renal dysplasia complicated by upper ureteral calculi with laparoscopic lithotomy. Poor renal rotation lesions in the left kidney in 4 cases, 3 cases of right kidney. 4 cases of renal pelvis stones, 3 cases of upper ureteral calculi. There are 3 cases of high ureteropelvic junction stenosis (UPJO), intraoperative ureteroplasty at the same time. Results All stones were successfully removed at one time. The average operation time was 60 min (45-90 min). Postoperative recovery was good, followed up for 6 to 12 months, no complications. Conclusions Laparoscopy is an effective surgical method to treat the upper ureteropelvic stones with poor rotation of the kidney and can coexist with UPJO.