儿童肾盂输尿管连接处梗阻手术并发症的认识与思考  

Understandings and reflections on surgical complications of ureteropelvic junction obstruction

作　　者：刘鑫[1] 杨屹[1] Liu Xin;Yang Yi(Department of Pediatric Urology,Affiliated Shengjing Hospital,China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院小儿泌尿外科,沈阳110004

出　　处：《临床小儿外科杂志》2024年第4期305-309,共5页Journal of Clinical Pediatric Surgery

基　　金：国家自然科学基金项目(82371722)

摘　　要：肾盂输尿管连接处梗阻是儿童最常见的先天性上尿路梗阻,离断式肾盂输尿管成形术是治疗该病的金标准,手术成功率达90%以上。然而如何避免手术并发症(特别是严重并发症)仍然充满了挑战。随着外科技术的不断创新,外科医师应在更精准把握手术指征、全面认识和正确处理手术并发症上提高认识,从而使患儿从手术治疗中最大化获益。本文阐述肾盂输尿管连接处梗阻患儿肾盂输尿管成形术后并发症的类型、病因、预防和处理,并对相关危险因素提出思考。Ureteropelvic junction obstruction(UPJO)has been the most common congenital cause of upper urinary tract obstruction.And dismembered pyeloplasty continues to be a gold standard with an overall success rate of 90%.However,a proper management of surgical complications remains rather challenging.As surgical techniques continue innovating,surgeons should be more precise about the indications for surgery and more comprehensively understand and correctly manage surgical complications to maximize patient benefits.This review summarized the complications of pyeloplasty from the perspectives of types,causes,preventions and risk factors.

关 键 词：肾盂输尿管连接处梗阻 手术中并发症 手术后并发症 诊断 治疗 儿童 

分 类 号：R726.9[医药卫生—儿科]