Ahmed S, Crankson S
Department of Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Pediatr Surg Int. 1997 Jul;12(5-6):389-92. doi: 10.1007/BF01076947.
Sixty-one consecutive patients undergoing pyeloplasty (5 bilateral) were reviewed retrospectively; 54 pyeloplasties were non-intubated (NIP) and 12 were intubated. NIPs were managed by an extrarenal wound drain, which was removed after 2-4 days in 44 repairs with minimal or no urinary leakage and after 6-8 days in 10 with significant leakage. Fifty-two were successful after the primary procedure. One patient who developed a urinoma after drain removal required a percutaneous nephrostomy followed by a revision pyeloplasty. A second revision pyeloplasty was necessary for persistent postoperative obstruction. The results of NIP compared favorably with series where intubation was used routinely and were superior to alternative methods of management such as endopyelotomy.
对61例接受肾盂成形术的连续患者（5例双侧手术）进行回顾性分析；其中54例肾盂成形术未留置支架管（NIP），12例留置了支架管。NIP手术通过肾外伤口引流管进行处理，44例修复术后2 - 4天，尿液渗漏极少或无渗漏，引流管拔除；10例有明显渗漏的患者术后6 - 8天拔除引流管。52例初次手术后成功。1例患者在拔除引流管后出现尿囊肿，需要行经皮肾造瘘术，随后进行肾盂成形术修复。另1例患者因术后持续梗阻需要再次进行肾盂成形术修复。NIP手术的结果与常规使用支架管的系列研究相比具有优势，且优于诸如肾盂内切开术等其他处理方法。
