【摘要】 目的 :探讨肾盂输尿管连接部 (UPJ)梗阻的手术治疗方法。方法 :采用离断性肾盂成形术治疗先天性肾盂输尿管连接部梗阻 32例 ,常规采用双J管作支架内引流。结果 :术后无感染、漏尿和再狭窄等并发症 ,患肾积水明显好转 ,吻合口通畅。结论 :离断性肾盂成形术是治疗肾盂输尿管连接部梗阻较有效的方法 ,术中使用双J管作支架有利于肾功能迅速恢复 ,减少术后吻合口再狭窄的发生 ,提高了手术的成功率更多还原

【Abstract】 Objective:To evaluate the surgical management of ureteropelvic junction(UPJ) obstruction.Methods:Thirty-two cases of congenital UPJ obstruction were treated by Anderson-Hynes pyeloplasty.Double-J stents were used as internal stands and drainage.Results:All the obstructions were successfully relieved,hydronephrosis was greatly improved and no complications such as urinary infection,leakage of urine or restricture were noted at follow-up.Conclusions:Anderson-Hynes pyeloplasty is an efficient treatment for congenital obstruction of UPJ,and the use of double-J stent as internal stand and drainage can help recovery of kidney function,reduce the chance of UPJ restriction,and raise the rate of success.更多还原