Abstract:Objective:To evaluate the clinical efficacy of percutaneous balloon dilatation combined with endopyelotomy in the minimally invasive treatment of ureteropelvic junction obstruction (UPJO).Methods:Between March 2010 and March 2012, 17 patients of UPJO had undergone percutaneous balloon dilatation combined with endopyelotomy. Clinical data and follow-up data were analyzed retrospectively.Results:Seven patients obstruction were on the left and ten were on the right. Among the patients, there were 12 primary UPJO which 7 combined with renal calculus, 2 had undergone PCN, 1 had undergone ureterolithotomy, 1 had undergone pyeloplasty and 1 had undergone laparoscopic pyeloplasty. The length of stricture of all patients was less than 2 cm. All operations were performed successfully and no serious complication happened. 17 patients were followed-up from 7 to 31 months and the curative effect was satisfactory.Conclusions:Percutaneous balloon dilatation combined with endopyelotomy is safe and effective for treatment of UPJO, which can be used as the initial treatment selectively.
李建业, 郭和清, 孙斌, 姚志勇, 周高标, 穆大为, 刘红明, 李建兴. 经皮腔内顺行球囊扩张结合内切开术治疗肾盂输尿管连接部梗阻初步疗效观察[J]. 微创泌尿外科杂志, 2013, 2(3): 189-191.
Li Jianye, Guo Heqing, Sun Bin, Yao Zhiyong, Zhou Gaobiao, Mu Dawei, Liu Hongming, Li Jianxing. Preliminary observation on the treatment of ureteropelvic junction obstruction with percutaneous balloon dilatation combined with endopyelotomy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2013, 2(3): 189-191.
[1]郭和清,周高标,潘广新,等.B超引导经皮肾镜超声气压弹道碎石术治疗复杂性肾结石.临床泌尿外科杂志,2008,23(11):852-853. [2]Dimarco DS, Gettman MT, Mcgee SM, et al. Long-term success of antegrade endopyelotomy compared with pyeloplasty at a single institution. J Endourol, 2006, 20(10): 707-712. [3]Gupta O, Tuncay OL, Smith AD. Open surgical exploration of failed endopyelotomy: A 12-year perspective. J Urol, 1997,157(5):1613-1619. [4]Jabbour ME, Goldfischer ER, Klima WJ, et,al. Endopyelotomy after failed pyeloplasty: the long-term results. J Urol,1998,160(3 Pt 1):690-693. [5]朱轶勇,吴吉涛,高振利,等. 后腹腔镜治疗输尿管腔外良性压迫所致肾盂输尿管连接部梗阻.现代泌尿外科杂志,2008,13(3):215-216. [6]郭应禄,周利群主译.坎贝尔-沃尔什泌尿外科学.北京:北京大学医学出版社,2009:1304-1305.