Stepanov E A, Erokhin A P, Menovshchikova L B, Korznikova I N, Kovarskiĭ S L, Kotlovskiĭ A M, Vrublevskiĭ S G
Urol Nefrol (Mosk). 1992 Jul-Dec(4-6):21-2.
Available are the results of surgical treatment (Andersen-Hynes operation and its modifications) of 85 children with hydronephrosis bor the period 1981-1987. The patients' age ranged from 6 months to 14 years. Anastomotic stenosis occurred in 12% of the procedures as a result of: urethral or pelvic trauma when suturing, wound channels due to the needle perforating puncture, catgut unwanted properties, tissue strain at the anastomosis site, inadequate renal drain. This necessitates modification of the operative technique: surgical manipulations restricted to the operated on pelvic part and pelvic-urethral segment, optical amplification, microsurgical instruments, synthetic suture. An original pyelostoma made of silicon rubber was used in draining. Out of 34 surgical cases, good results were achieved in 31, satisfactory in 3. No complications were recorded.
现提供1981 - 1987年期间85例肾盂积水患儿接受手术治疗（安德森 - 海因斯手术及其改良术）的结果。患者年龄从6个月至14岁不等。12%的手术出现吻合口狭窄，原因如下：缝合时尿道或盆腔创伤、穿刺针穿孔造成的伤口通道、肠线不良特性、吻合部位组织张力、肾引流不足。这就需要对手术技术进行改良：手术操作仅限于手术涉及的盆腔部分和盆腔 - 尿道段，光学放大，显微手术器械，合成缝线。引流采用由硅橡胶制成的原创肾盂造口术。34例手术病例中，31例效果良好，3例效果满意。未记录到并发症。
