Ninan George K, Sinha Chandrasen, Patel Ramnik, Marri Rajendra
Department of Paediatric Urology, Children's Hospital, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Infirmary Road, Leicester, LE1 5WW, UK.
Pediatr Surg Int. 2009 Feb;25(2):191-4. doi: 10.1007/s00383-008-2313-7. Epub 2008 Dec 17.
The purpose of the present study was to comprehensively assess the results of dismembered pyeloplasty in pelvi-ureteric junction obstruction (PUJO) using double 'J' ureteric stent.
Records of 61 dismembered pyeloplasties in 60 consecutive patients with PUJO who underwent pyeloplasty in a 5-year period were reviewed retrospectively. In 58 cases, a double 'J' stent was passed in an antegrade fashion during the operation. No other mode of drainage was used. Stent was not placed on three occasions. Records were reviewed for age at diagnosis, age at surgery, post-operative complication, post-operative drainage and length of hospital stay.
There were no episodes of urinary leak or re-obstruction in the stented group. Median post-operative stay in stented patients was 2 days. The use of this stent was associated with no serious complications. There were no episodes of post-operative urinary tract infection or stent displacement.
We recommend double 'J' stent as the safest mode of drainage in pyeloplasty in infants and children. Keeping a double-J stent across the anastomosis reduces the complications and the hospital stay in these patients.
本研究的目的是全面评估使用双“J”输尿管支架进行肾盂成形术治疗肾盂输尿管连接部梗阻（PUJO）的效果。
回顾性分析连续60例经肾盂成形术治疗PUJO患者的61例肾盂成形术记录，这些手术在5年期间完成。58例患者在手术过程中采用顺行方式置入双“J”支架。未使用其他引流方式。有3例未放置支架。回顾记录以了解诊断时年龄、手术时年龄、术后并发症、术后引流情况及住院时间。
支架置入组未发生尿漏或再梗阻情况。置入支架患者的术后中位住院时间为2天。使用该支架未出现严重并发症。未发生术后尿路感染或支架移位情况。
我们推荐双“J”支架作为婴幼儿肾盂成形术最安全的引流方式。在吻合口处留置双J支架可减少这些患者的并发症并缩短住院时间。
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