也谈儿童肾盂输尿管连接处梗阻手术后泌尿系感染的影响因素  

Risk factors for urinary tract infection after pyeloureteroplasty in children

作　　者：王朝晖 赵夭望 Wang Zhaohui;Zhao Yaowang(Department of Urology,Affiliated Children's Hospital,Xiangya School of Medicine,Central South University,Hunan Children's Hospital,Changsha 410007,China)

机构地区：[1]中南大学湘雅医学院附属儿童医院,湖南省儿童医院泌尿外科,长沙410007

出　　处：《临床小儿外科杂志》2024年第4期310-314,共5页Journal of Clinical Pediatric Surgery

基　　金：湖南省儿童泌尿生殖疾病临床医学研究中心(2021SK4017)

摘　　要：肾盂输尿管连接处梗阻(ureteropelvic junction obstruction,UPJO)是导致儿童病理性肾积水的最常见原因。目前,腹腔镜下肾盂输尿管成形术(laparoscopic pyeloplasty,LP)已逐渐成为UPJO的首选手术方式。泌尿系感染(urinary tract infection,UTI)是肾盂输尿管成形术后常见早期并发症之一。UTI可导致病程延长,严重者甚至可诱发尿源性脓毒血症;也可导致术后吻合口再狭窄,影响手术成功率。本文旨在分析和阐述儿童UPJO手术后UTI的影响因素,以期提高临床对于UPJO手术后UTI的认识,进而采取相应措施预防UTI的发生,缩短UTI病程,提高手术成功率。Ureteropelvic junction obstruction(UPJO)is the most common cause of pathological hydronephrosis in children.Laparoscopic pyeloplasty(LP)has gradually become a preferred surgical option for UPJO.As one of the common early complications of LP,urinary tract infection(UTI)prolongs the course of the disease and even induce lethal urogenic sepsis,in severe cases.At the same time,it may lead to postoperative restenosis of the anastomosis and affect the success rate of the operation.This reviews summarized the risk factors for UTI after LP in children with UPJO,in order to improve the understanding of urdogists.Corresponding interventions may prevent the occurrence of UTI,shorten the course of UTI,and thus improve the success rate of operation.

关 键 词：肾盂输尿管连接处梗阻 泌尿外科手术 手术后并发症 泌尿系感染 影响因素 儿童 

分 类 号：R726.9[医药卫生—儿科]