小儿肾盂输尿管连接部梗阻采用腹部微创小切口治疗的效果观察

Effect observation of minor abdominal incision on children with urete pelvic junction obstruction

目的探讨小儿肾盂输尿管连接部梗阻通过腹部微创行离断式肾盂成形术治疗的临床疗效。方法回顾性分析2013年12月至2015年12月在我院采用腹部微创小切口、腹膜外入路行离断式肾盂成形术治疗的小儿肾盂输尿管连接部梗阻33例患儿的临床资料,对其手术指标、临床效果及并发症发生情况进行总结。结果 33例患儿手术均成功,平均手术时间为(89.0±37.0)min,平均出血量为(16.0±12.0)mL,术后随访3~12月,伤口均愈合良好,无吻合口狭窄、尿瘘、泌尿系感染等并发症,所有肾盂均有不同程度缩小,肾实质增厚。结论采取腹部微创小切口行离断式肾盂成形术治疗小儿肾盂输尿管连接部梗阻,效果确切,值得临床推广应用。

Objective To assess the clinical effect of minor abdominal incision in dismembered Anderson-Hynes pyeloplasty in the treatment of ureter pelvic junction obstruction （UPJO） on children. Methods Retrospective analysis was carried out on the data of 33 children with UPJO treated with minor abdominal incision in dismembered Anderson-Hynes pyeloplasty from December 2013 to December 2015. The operating indexes, clinical effect and operation complications were collected and reviewed retrospectively. Results Operations were all successful on 33 children. The mean operation time was （89.0±37.0） min, and the mean blood loss was （16.0±12.0） mL. All the children were followed up for 3 to 12 months, the wound healed well, no anastomotic stenosis, urethral fistula, urinary infection were found, hydronephrosis was remitted and renal functions were improved. Conclusion Minor abdominal incision in dismembered Anderson-Hynes pyeloplasty is an effective and safe way in the treatment of UPJO in children, which is worthy of clinical application.