摘要
目的:探讨硅胶外支架外引流与双J管内引流在肾积水手术中的应用效果。方法:选取2015—2016年我院泌尿外科收治的肾积水患儿160例,并随机分为硅胶外支架外引流组(外引流组)和双J管内引流组(内引流组),每组80例。两组患儿分别采取两种不同的引流方式,比较两组的围手术期情况、并发症发生率、肾盂分离度和肾功能。结果:两组手术时间、出血量、医疗费用比较,差异无统计学意义(P>0.05);内引流组患儿住院时间较外引流组缩短,差异有统计学意义(P<0.05)。内引流组术后并发症发生率为12.5%,明显低于外引流组的28.75%,差异有统计学意义(P<0.05)。术后3、6、12个月,两组患儿肾盂分离度均较术前显著减小,差异有统计学意义(P<0.05);但两组患儿术后12个月的肾盂分离度比较差异无统计学意义(P>0.05)。术后两组患儿ECT均较术前明显增加,差异有统计学意义(P<0.05);但两组患儿术后的ECT比较差异无统计学意义(P>0.05)。结论:硅胶外支架外引流和双J管内引流治疗肾积水均能取得较好的效果,均能够明显改善患儿肾盂分离和肾功能,其中双J管内引流在缩短住院时间和降低术后并发症方面具有一定优势。
Objective:To explore the application of external drainage with silica gel external stent and internal drainage with double J tube in hydronephrosis surgery.Methods:From 2015 to 2016,160 cases of hydronephrosis treated in our hospital were selected and randomly divided into silica gel external stent group(external drainage group)and double J tube group(internal drainage group),80 cases in each group.The two groups were treated with two different drainage methods,and the perioperative situation,complication rate,renal pelvis separation and renal function of the two groups were compared.Results:There was no significant difference in operation time,blood loss or medical expenses between the two groups(P>0.05),but the hospitalization time of the internal drainage group was shorter than that of the external drainage group(P<0.05).The incidence of postoperative complications in the internal drainage group was 12.5%,which was significantly lower than 28.75%in the external drainage group(P<0.05).At 3,6 and 12 months after operation,the separation of renal pelvis in the two groups were significantly decreased compared with those before operation,and the difference was statistically significant(P<0.05).However,at 12 months after operation,the difference between the two groups in the separation of renal pelvis was not statistically significant(P>0.05).After operation,ECT of the two groups increased significantly compared with those before operation(P<0.05),but no significant difference was found between the two groups(P>0.05).Conclusion:Both external drainage with silica gel external stent and internal drainage with double J tube can achieve good results in the treatment of hydronephrosis and significantly improve the separation of renal pelvis and renal function in children.Double J tube internal drainage has certain advantages in shortening hospitalization time and reducing postoperative complications.
作者
周云
柴红超
王静茹
ZHOU Yun;CHAI Hongchao;WANG Jingru(Department of Urology,Hebei Children's Hospital,Shijiazhuang,050000,China;Department of Gastrointestinal Surgery,Fourth Hospital of Hebei Medical University)
出处
《临床泌尿外科杂志》
CAS
2021年第4期301-304,共4页
Journal of Clinical Urology
基金
河北省卫生厅科研基金项目(No:20150571)。
关键词
肾积水
硅胶外支架
双J管
肾盂离断术
hydronephrosis
external silica gel stent
double J tube
pyelotomy
