离断性肾盂成形术双J管内引流治疗肾盂输尿管连接部狭窄  

Double pigtail catheter used in Anderson-Hynes operation for the treatment of ureteropelvic function obstruction

作　　者：孙道明[1] 吴江河[1] 

机构地区：[1]池州市第二人民医院泌尿外科,安徽247000

出　　处：《安徽卫生职业技术学院学报》2006年第3期53-53,55,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨离断性肾盂成形术双J管内引流治疗肾盂输尿管连接部狭窄的临床疗效。方法:采用离断性肾盂成形术治疗先天性肾盂输尿管连接部狭窄32例共35侧,常规采用双J管作支架内引流,术后1个月拔除双J管,3个月行静脉肾盂造影复查。结果:患肾积水好转,吻合口通畅,尿常规检查无严重尿路感染。结论:离断性肾盂成形术是治疗肾盂输尿管连接部狭窄的有效方法,术中使用双J管能减少术后再狭窄的发生,提高手术的成功率。Objective To evaluate the clinical effects of double-pigtail catheter in Anderson-Hynes operation for the treatment of ureteropelvic junction obstruction. Method Between July 1991 and December 1997, 32 cases of ureteropelvic junction obstruction who had placec a double pigtail catheter were processed with Anderson- Hynes operation. Every double pigtail catheter was removed in 4-6 weeks after operation. Outcome was evaluated with intravenous pelviurete y in 3 months. Results All obstruction was successfully relieved and no cornplications were noted as follow up. Conclusion Anderson-Hynes operation is an effective method for the treatment of ureteropelvic junction obstruction. Double pigtail placement during operation can reduce the in cidence of uroteropelvic junction re-stricture and raise the success rate of operation.

关 键 词：离断性肾孟成形术 肾盂输尿管连接部狭窄 输尿管支架管 

分 类 号：R693[医药卫生—泌尿科学]