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首页> 外文期刊>Nature reviews. Urology >Management of ureteropelvic junction obstruction in adults
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Management of ureteropelvic junction obstruction in adults

机译：成人输尿管盆腔连接梗阻的处理

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Ureteropelvic junction obstruction (UPJO) is characterized by impaired flow of urine from the renal pelvis to the ureter. Untreated disease can result in renal impairment making effective management crucial. A combination of CT imaging and diuretic renography is typically used for diagnosis. CT is the investigation of choice for obtaining anatomical information about UPJO and can help to identify potential causes. Diuretic renography is best for providing functional information about UPJO. A variety of open and minimally invasive surgical techniques are available for treatment of UPJO. Traditionally open pyeloplasty has been the standard of care but minimally invasive surgical techniques have become increasingly popular. Endopyelotomy has a lower success rate than other modalities (42-90% depending on the approach), but is associated with reduced pain and shorter convalescence. Laparoscopic pyeloplasty and robot-assisted pyeloplasty have similar success rates to open pyeloplasty (>90%), with the additional advantages of significantly reduced morbidity and shorter convalescence. More long-term outcome data for minimally invasive surgical techniques are awaited.
机译：尿路盆腔交界处阻塞（UPJO）的特征是从肾盂到输尿管的尿液流量减少。未经治疗的疾病可能导致肾功能不全，因此有效的治疗至关重要。通常将CT成像和利尿肾造影相结合进行诊断。 CT是获得UPJO解剖信息的首选调查方法，可以帮助识别潜在原因。利尿性肾脏造影最适合提供有关UPJO的功能信息。多种开放式和微创手术技术可用于治疗UPJO。传统上，开放式肾盂成形术一直是护理的标准，但是微创手术技术已变得越来越流行。眼内切开术的成功率低于其他方式（取决于方法的42-90％），但与疼痛减轻和恢复期短有关。腹腔镜肾盂成形术和机器人辅助肾盂成形术具有与开放性肾盂成形术相似的成功率（> 90％），并且具有显着降低发病率和缩短疗养期的其他优点。等待着微创手术技术的更多长期结果数据。

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