双J管在小儿离断性肾盂成形术中的应用  

Double J catheter used in pediatric Anderson-Hynes pyeloplasty

作　　者：徐友明[1] 余建华[1] 张文[1] 

机构地区：[1]武警湖北省总队医院泌尿外科,武汉430061

出　　处：《临床泌尿外科杂志》2001年第8期357-358,共2页Journal of Clinical Urology

摘　　要：目的 :探讨双 J管内引流在小儿离断性肾盂成形术中的应用效果。方法 :在离断性肾盂成形术中采用放置双 J管作内支架和内引流治疗小儿肾盂输尿管连接部 ( U PJ)梗阻 3 5例 4 0侧 ,术后留置导尿 5～ 7天 ,4～ 6周拔除双 J管。结果 :术后无切口感染、漏尿等并发症 ,患肾积水明显好转 ,吻合口通畅。结论 :双 J管具有内支架和内引流的双重作用 ,并发症少 ,减少了术后再狭窄的机会 ,缩短了住院时间 ,使用安全、可靠。Purpose:To explore the clinical effect of double J catheter internal drainage used in pediatric Anderson Hynes pyeloplasty.Methods:A total of 35 cases of Ureteropelvic junction (UPJ) obstruction in children had duble J catheters placed who were processed with Anderson Hynes pyeloplasty. The patients had catheterization for 5～7 days, the double J catheters were removed by cystoscopy in 4～6 weeks postoperatively. Outcome was evaluated with ultrasonography or intravenous pelviureterography in 3～6 months. Results:All obstruction were successfully relieved and no complicatons such as urinary infection, leakage of urine et al were noted at follow up.Conclusions:The routine use of double J catheters placed intraoperatiely can reduce the chance of UPJ restricture and shorten hospital stays. It is safe and reliable.

关 键 词：导管 留置 引流 外科手术 泌尿系梗阻 儿童 

分 类 号：R726.912[医药卫生—儿科]