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題 名 | Ureteropelvic Junction Obstruction: Comparison of Open Pyeloplasty and Endopyelotomy in 45 Patients=輸尿管腎盂聯接處狹窄:腎盂成術與內視鏡腎盂切開術四十五病例之比較分析 |
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作 者 | 陳順郎; 歐宴泉; 楊啟瑞; 張吉隆; 郭振華; 高育琳; 程千里; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷 期 | 8:2 1997.06[民86.06] |
頁 次 | 頁82-86 |
分類號 | 416.274 |
關鍵詞 | 輸尿管狹窄; 經皮腎臟造廔; 內視鏡; Ureteral obstruction; Nephrostomy-percutaneous; Endoscopy; |
語 文 | 英文(English) |
英文摘要 | 治療輸尿管腎盂聯接處狹窄,傳統的腎盂成形術已有了相當的成功率,但是近年 來由於經皮腎臟造廔術及術尿管鏡手術的進步,經由內視鏡來切開輸尿管腎盂聯接狹窄處漸 漸廣泛的被採用,它具有更短住院天數、術後疼痛減輕及恢復迅速等優點,更重要的是和傳 統的腎盂成形術有不相上下的成功率。本文將近年來所累積的病例加以分析比較,以有限的 經驗顯示經皮腎造廔內視鏡切開術及藉由輸尿管鏡的逆行性內視鏡切開術的優越性,他們的 平均住院日數為 7.1 日及 3 日,比起傳統的手術 10.3 日縮短不少,並且減少術後麻醉鎮 痛劑使用劑量,因此我們深信,經由內視鏡來處理輸尿管腎盂聯接處狹窄將成為優先考慮的 治療方法。 ns with endopyelotomy (15 by percutaneous procedure, 4 by ureteroscopic manipulation) and 28 obstructions with open pyeloplasty. The patients after endopyelotomy recovered more quickly with shortened hospital days than the patients of open pyeloplasty (7.1 days, 3 days and 10.3 days). The success rate appeared comparable in two groups with 89.47% of enodpyelotomy and 89.28% of open pyeloplasty. We suggest that the endopyelotomy be the first choice for the management of UPJ obstruction. |
本系統中英文摘要資訊取自各篇刊載內容。