肾盂输尿管连接处梗阻合并肾结石治疗现状
Current Status of Treatment of Obstruction of Renal Pelvis and Ureteral Junction with Renal Calculi
摘要: 肾盂输尿管连接部梗阻(ureteropelvic junction obstruction, UPJO)是输尿管狭窄最常见的部位。据统计，肾结石和UPJO合并存在的发病率可达20%。UPJO合并肾结石时，患者会同时出现感染、积水、肾功能受损等并发症，严重时危及患者生命。随着微创技术的不断发展，UPJO合并肾结石的治疗方案不断创新，极大地降低了术后并发症发生率，增加了结石清除率。目前对于UPJO合并肾结石的治疗方法主要有开放手术离断式肾盂成形术、经皮肾镜、腹腔镜手术等。
Abstract: The ureteropelvic junction obstruction (UPJO) is the most common site of ureteral stricture. Ac-cording to statistics, the incidence of kidney stones combined with UPJO can reach 20%. When UPJO is combined with kidney stones, the patient will have complications such as infection, water accumulation, and impaired renal function, which will endanger the patient’s life in severe cases. With the continuous development of minimally invasive techniques, UPJO’s treatment plan for kidney stones has been continuously innovated, greatly reducing the incidence of postoperative complications and increasing the rate of stone removal. At present, there are mainly open surgical detachment pyeloplasty, percutaneous nephrolithotomy, and laparoscopic surgery for the treat-ment of kidney stones with UPJO.
文章引用：闫文帅, 高继学, 宋红雄, 纪新磐, 贾洁. 肾盂输尿管连接处梗阻合并肾结石治疗现状[J]. 临床医学进展, 2019, 9(4): 595-599. https://doi.org/10.12677/ACM.2019.94090

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