摘要
目的 探讨小儿肾盂输尿管连接部 (UPJ)梗阻的手术治疗方法。 方法 对 34例 39侧UPJ梗阻采用离断性肾盂成形术 ,术中置双J管内引流 ,术后留置导尿 5～ 7d ,4～ 6周拔除双J管 ,3～ 6个月复查。 结果 患儿症状消失 ,患肾积水明显好转 ,吻合口通畅 ,均获成功。 结论 离断性肾盂成形术是治疗小儿UPJ梗阻的有效方法 ,成功率高。双J管内引流减少了术后再狭窄的机会 ,缩短了住院时间 ,使用安全。
Objective To evaluate the operative treatment of pediatric ureteropelvic junction (UPJ)obstruction. Methods A total of 34 cases of UPJ obstruction in children had double J tubes placed intraoperatively during Anderson Hynes pyeloplasty.Urethral catheterization was maintained for 5～7 days,the double J tube being removed on cystoscopy 4～6 weeks after operation.The outcome was evaluated with ultrasonography or intravenous pelviureterography 3～6 months postoperatively. Results The obstruction was successfully relieved in all the patients and no complications such as urinary infection and leakage of urine were noted on follow up. Conclusions Anderson Hynes pyeloplasty is an effective procedure for the treatment of pediatric UPJ obstruction. The routine use of double J tubes placed intraoperatively can reduce the chance of UPJ restricture and shorten the hospital stay.It is safe and dependable.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2001年第7期419-420,共2页
Chinese Journal of Urology
