摘要
目的 探讨肾盂成形术后肾切除的原因及预防对策。方法 回顾性分析 9例肾盂成形术后肾切除的临床资料。结果 9例患者因发热、腰痛、肾区包块、脓尿、肾造瘘管无法拔除于肾盂成形术后 2月~ 3年行肾切除术。结论 手术方式选择不当、再梗阻、感染是导致手术失败肾切除的原因 ,其中感染是最关键的因素。提高术者的手术操作技能 。
Objective To investigate the etiology and preventive strategy of nephrectomy after Anderson-Hynes pyeloplasty for ureteropelvic junction obstruction (UPJO). Methods A clinical data of 9 cases nephroectomy after Anderson-Hynes pyeloplasty for UPJO were analyzed retrospectively. Results Nephroectomy was performed in 2 months to 3 years after Anderson-Hynes pyeloplasty due to fever, loin pain and lump, pyuria and failure to remove the nephrostomy tube. Conclusion The chief etiology of nephroectomy after Anderson-Hynes pyeloplasty for UPJO was improper operation pattern, recurrent obstruction and infection, and most important of all infection. The kidney loss can be avoided by improve the operators skill and correct perioperative management.
出处
《现代泌尿外科杂志》
CAS
2004年第2期84-85,共2页
Journal of Modern Urology
关键词
肾盂成形术
肾切除
原因
预防
手术方式
ureteropelvic junction obstruction
Anderson-Hynes pyeloplasty
hydronephrosis