小儿腹腔镜肾盂成形术的护理

Surgery care of pediatric laparoscopic pyeloplasty

目的探讨小儿后腹腔镜肾盂成形术的护理要点。方法对15例肾盂输尿管连接部梗阻的患儿行腹腔镜肾盂成形术,观察患儿的术前准备、术后护理及随访的手术效果。结果所有手术均取得成功,术中无并发症发生,患儿均治愈出院。随访5～12个月,超声示患儿肾积水均不同程度减轻或消失。结论结合小儿的生理特点,术前对患儿进行耐心细致的心理护理及充分的准备、术后做好饮食指导、管道护理及并发症的观察是保证手术疗效的关键。

Objective To explore the surgery care points of pediatric laparoscopie pyeloplasty. Methods 15 children with urctcropelvic junction obstruction underwent laparoscopic pyeloplasty. The preoperative, postoperative care and follow-up surgery outcome were observed and analyzed. Results All operations were successful and no complications occurred. Uhrasonography showed hydronephrosis were reduced or disappeared during 5 months to 12 months follow-up. Concluaions According to pediatric physiological characteristics, preoperative psychology care and intensive preparation, postoperative diet guidance, pipelines care and oberavation are of complication the key points to ensure the surgical outcome.