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[儿童先天性肾积水手术矫正方法的改进]

[Improvement of methods of surgical correction of congenital hydronephrosis in children].

作者信息

Vrublevskiĭ S G, Kovarskiĭ S L, Korznikova I N

出版信息

Vestn Ross Akad Med Nauk. 1994(3):19-22.

PMID:7516213
Abstract

The analysis of the authors' own results of surgical treatment for hydrohephrosis in 81 children after the Anderson-Haines-Kucher has revealed that the most common complication is stenosis of the anastomosis made. The authors' modified operation has indicated that the use of a less traumatic access to the pelvioureteral portion, of optic magnification, a microsurgical instrument, 7/0 synthetic suture material, drainage of the renal collecting system with a pyelostomic tube of original design allows the optimal conditions to be created for formation of the pelvioureteral anastomosis and the good results of hydronephrosis treatment to be obtained in children.

摘要

对作者自身采用安德森 - 海恩斯 - 库彻术式对81例儿童肾盂积水进行手术治疗的结果分析显示,最常见的并发症是所做吻合口狭窄。作者改良后的手术表明,采用创伤较小的入路进入肾盂输尿管部分、使用光学放大设备、显微外科器械、7/0合成缝合材料,以及使用原创设计的肾盂造瘘管对肾集合系统进行引流,可为肾盂输尿管吻合口的形成创造最佳条件,并能在儿童肾盂积水治疗中取得良好效果。

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