...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Retroperitoneoscopic nephropexy for symptomatic nephroptosis.
【24h】

Retroperitoneoscopic nephropexy for symptomatic nephroptosis.

机译：腹膜后肾切除术治疗有症状的肾病。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Open nephropexy for nephroptosis creates significant morbidity. We describe our technique for retroperitoneoscopic nephropexy and evaluate its efficacy. METHODS: Twenty-five renal units in 23 patients with symptomatic nephroptosis underwent retroperitoneoscopic nephropexy by suturing the posterior renal capsules and transfixing them to the back muscles. The diagnosis and postoperative assessment were made by typical symptoms (via patient questionnaire) and findings of intravenous urography (IVU) when the position was changed from supine to erect. RESULTS: Mean operative time was 188 min (range, 90-330). Mean narcotic use was 15.6 mg morphine. Complete resolution of symptoms occurred in 84% (21/25) renal units; 12% (three of 25) achieved partial improvement (>75% decrease of preoperative symptoms). Follow-up IVU showed that 88% of patients had a renal descent of <2 cm on standing; the others had a descent of 2-4 cm. All of the five renal units with hydronephrosis resolved completely after the operation. CONCLUSIONS: This modified technique of retroperitoneoscopic nephropexy is a minimally invasive, feasible, and highly successful option for treating patients with symptomatic nephroptosis.
机译：背景：开放性肾病治疗肾病会导致大量发病。我们描述了我们的技术，用于腹膜后肾切除术并评估其疗效。方法：通过缝合后肾囊并将其固定在背部肌肉中，对23例有症状性肾病患者的25个肾单位进行腹膜后镜肾病。诊断和术后评估是根据典型症状（通过患者问卷）和从仰卧位改为直立位时静脉输尿管造影（IVU）的结果进行的。结果：平均手术时间为188分钟（范围90-330）。麻醉剂的平均使用量为15.6 mg吗啡。症状的完全缓解在84％（21/25）肾单位中发生; 12％（25名患者中的3名）获得了部分改善（术前症状减少> 75％）。 IVU随访显示，88％的患者站立时肾下降小于2 cm;其他人下降2-4厘米。五个肾积水的肾单位在手术后全部消退。结论：这种改良的腹腔镜后肾穿刺术技术是治疗症状性肾病患者的一种微创，可行和高度成功的选择。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号