双J管在小儿离断性肾盂成形术中的应用

Double J catheter used in pediatric Anderson-Hynes pyeloplasty

目的 探讨双J管内引流在小儿离断性肾盂成形术中的应用效果。方法 在离断性肾盂成形术中放置双J管作内支架和内引流治疗小儿肾盂输尿管连接部 (UPJ)梗阻 3 5例 40侧 ,术后留置导尿 5～ 7天 ,4～ 6周拔除双J管。结果 术后无切口感染、漏尿等并发症 ,患肾积水明显好转 ,吻合口通畅。结论 双J管具有内支架和内引流的双重作用 ,并发症少 ,减少了术后再狭窄的机会 ,缩短了住院的时间 ,使用安全、可靠。

Objective To explore the clini cal effect of double J catheter internal drainage used in pediatric Anderson-Hyn es pyeloplasty. Methods A total of 35 case s of Ureteropelvic junction (UPJ) obstructoin in children had duble J ca theters placed who were processed with Anderson-Hynes pyeloplasty. The patients kept catheter for 5～7days,the double J catheters were removed by cyst oscopy in 4～6 weeks postperation The outcome of the operation was evaluated wit h ultrasonography or intravenous pelviureterography in 3～6 months. Results All obstruction were successfully relieved and no complicatons su ch as urinary infection,leakage of urine et al were noted daring follow up . Conclusion The routine use of double J c atheters placed intraoperatiely can reduce the chance of UPJ restricture and sho rten hospital stays.It is safe and reliable.