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成人肾盂输尿管连接处梗阻:交叉血管有影响吗?

UPJ Obstruction in the Adult Population: Are Crossing Vessels Significant?

作者信息

Grasso M, Caruso R P, Phillips C K

出版信息

Rev Urol. 2001 Winter;3(1):42-51.

PMID:16985690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1476031/
Abstract

Ureteropelvic junction (UPJ) obstruction describes various causes of impaired drainage at the UPJ. Regardless of the cause, the end result is the same: impedance in the normal flow of urine from the renal pelvis into the proximal ureter, resulting in caliectasis and hydronephrosis. This may lead to progressive deterioration of renal function and, thus, often requires intervention to relieve the obstruction and restore the normal flow of urine. Defining the pertinent anatomy, the degree of obstruction, and differential renal function is key to determining whether and when intervention is necessary.

摘要

肾盂输尿管连接部(UPJ)梗阻描述了UPJ处引流受损的各种原因。无论病因如何,最终结果都是相同的:尿液从肾盂正常流入近端输尿管受到阻碍,导致肾盏扩张和肾积水。这可能会导致肾功能逐渐恶化,因此通常需要进行干预以解除梗阻并恢复尿液的正常流动。明确相关解剖结构、梗阻程度和患侧肾功能对于确定是否以及何时需要进行干预至关重要。

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本文引用的文献

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Intubated ureterotomy; experimental work and clinical results.插管输尿管切开术;实验研究与临床结果
J Urol. 1948 May;59(5):851-62. doi: 10.1016/S0022-5347(17)69449-7.
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Retrograde ureteroscopic endopyelotomy using the holmium:YAG laser.使用钬激光的逆行输尿管镜肾盂内切开术。
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Ureteropelvic junction obstruction: use of helical CT for preoperative assessment--comparison with intraarterial angiography.肾盂输尿管连接部梗阻:螺旋CT在术前评估中的应用——与动脉内血管造影的比较
Radiology. 1999 Dec;213(3):668-73. doi: 10.1148/radiology.213.3.r99dc22668.
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A prospective study of endoluminal ultrasound versus computerized tomography angiography for detecting crossing vessels at the ureteropelvic junction.一项关于腔内超声与计算机断层扫描血管造影术检测肾盂输尿管连接处交叉血管的前瞻性研究。
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Complications of retrograde balloon cautery endopyelotomy.逆行球囊烧灼肾盂内切开术的并发症
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Laparoscopic versus open pyeloplasty: assessment of objective and subjective outcome.腹腔镜肾盂成形术与开放肾盂成形术:客观和主观结果评估
J Urol. 1999 Sep;162(3 Pt 1):692-5. doi: 10.1097/00005392-199909010-00016.
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Crossing vessels at the ureteropelvic junction: detection with contrast-enhanced color Doppler imaging.输尿管肾盂连接处交叉血管:用对比增强彩色多普勒成像检测
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Ureteroscopic treatment of ureteropelvic junction obstruction.输尿管镜治疗肾盂输尿管连接部梗阻
J Urol. 1998 Nov;160(5):1643-6; discussion 1646-7. doi: 10.1016/s0022-5347(01)62368-1.
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Ureteropelvic junction obstruction. Open operative intervention.肾盂输尿管连接处梗阻。开放性手术干预。
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Laparoscopic pyeloplasty. Indications, technique, and long-term outcome.腹腔镜肾盂成形术。适应症、技术及长期疗效。
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