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腹腔镜肾固定术治疗症状性肾下垂25例疗效观察

陈江英,张大宏,朱绍兴,江玮,许恩赐

Hainan Medical Journal（2010）

Cited 23|Views5
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Abstract
目的 探讨腹腔镜肾固定术的手术方法及疗效.方法 患者术前行B超和静脉肾盂造影(IVP)检查,明确发现当患者由平卧位改为站立位时患侧肾脏下移超过5 cm.25例均采用经腹腔途径,使用特殊修剪的不可吸收Polypropylene网片将肾脏下极固定在腰大肌上.结果 25例手术均获得成功,无中转开放.21例患者患侧腰痛症状完全缓解,4例患者仍偶尔出现长久站立后患者腰痛.术后16例患者复查B超和IVP,9例患者仅复查B超、卧位和立位腹部平片,均提示由卧位改为站立位时肾脏下移小于5 cm.结论 腹腔镜肾固定术具有创伤小、并发症少、恢复快、复发率低、手术疗效确定等优点,是治疗症状性肾下垂安全有效的方法.
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Key words
Laparoscope,Nephropexy,Nephroptosis
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