临床小儿外科杂志2017，Vol.16Issue(5)：455-458,495,5.DOI:10.3969/j.issn.1671-6353.2017.05.009
先天性肾盂输尿管连接部梗阻手术后引流方式探讨
Comparative analysis of urine drainage in congenital hydronephrosis
摘要
Abstract
Objective To evaluate the advantages and disadvantages of urine drainage for congenital hydronephrosis. Methods The clinical data were retrospectively analyzed for 62 surgical cases of hydronephrosis. According to urine drainage,they were divided into two groups of internal(n=36,double-J)and external drainage(n=26,renal pelvis,ureteral stent,perinephric drainage tube). All cases were confirmed by postoperative pathology as ureteropelvic junction stricture. Two groups were compared with regards to operative duration,volume of blood loss,incidence of complications and postoperative hydronephrotic recovery. Results All operations were successful. No significant intergroup differences existed in gender, age or incidence of side effects(P>0. 05). There was statistically significant intergroup difference in operative duration(P<0. 05). Operative duration of double-J tube group was shorter than that of nephrostomic ureteral stent group. The volume of bleeding during internal drainage was less than that during external drainage [(11. 89 ± 8. 26)vs(15. 15 ±13.86)mL].And the difference was not statistically significant(P>0.05).The incidence of urinary infection was remarkably lower in double-J tube group than that in nephrostomic ureteral stent group(0 vs 11. 5%, P<0. 05); with regards to the rates of postoperative reflux,stricture and postoperative hematuria duration, differences were not statistically significant(P>0. 05). Conclusion Compared with traditional external drainage,double J tube postoperative drainage of UPJO can shorten operative duration,reduce postoperative complications and recover faster. It is worthy of wider clinical popularization.关键词
肾盂积水/输尿管梗阻/引流/儿童Key words
Hydronephrosis/Ureteral Obstruction/Drainage/Child引用本文复制引用
王媛媛,宋翠萍,张海洋,饶旺,刘晖,田旭生..先天性肾盂输尿管连接部梗阻手术后引流方式探讨[J].临床小儿外科杂志,2017,16(5):455-458,495,5.基金项目
河南省高等学校重点科研项目(编号:16A320008) （编号:16A320008）
