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[小儿肾盂输尿管段积水整形手术的原始经验]

[Original experience in plastic surgery of pelviureteral segment in hydronephrosis in children].

作者信息

Kogan M I, Sknar A A, Sizonov V V, Kliuka I V, Makarov G A, Novikova L V

出版信息

Urologiia. 2005 May-Jun(3):54-8.

Abstract

The study of postoperative urodynamics of the upper urinary tract was made in 339 patients with obstruction of the pyeloureteral segment and on experimental animals (morphological tests). This study revealed factors deteriorating functional capacity of anastomosis in early postoperative period. The findings allow the surgeons to update the technique of the pyeloureteral segment resection and uretero-pyeloanastomosis, to determine indications for applying nonsteroid anti-inflammatory drugs in the postoperative period, to reveal advantages and establish indications for drainage-free pyeloplasty. Thus, use of drainage-free modified technique of pyeloplasty in certain indications is a safe and less traumatic method of the patients' management which increases efficacy of Anderson-Hines operation.

摘要

对339例肾盂输尿管段梗阻患者及实验动物(形态学检测)进行了上尿路术后尿动力学研究。该研究揭示了术后早期吻合口功能能力恶化的因素。这些发现使外科医生能够更新肾盂输尿管段切除术和输尿管肾盂吻合术的技术,确定术后应用非甾体抗炎药的指征,揭示无引流肾盂成形术的优势并确定其应用指征。因此,在某些指征下使用无引流改良肾盂成形术是一种安全且创伤较小的患者管理方法,可提高安德森-海因斯手术的疗效。

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