摘要
目的 比较肾盂成形术后内引流与外引流的优缺点。 方法 回顾性分析肾盂成形术6 2例 6 8侧 ,其中 31侧术中置双J管 ,37侧置肾造瘘支架管 ,观察术后与引流方式有关的各种并发症及恢复情况。 结果 术后并发症包括血尿、尿路感染、吻合口漏尿或狭窄、尿盐结垢等。内引流组7侧 (2 2 .6 % )、外引流组 17侧 (45 .9% ) ,两组差异有显著性意义 (P <0 .0 5 )。内引流组术后腹膜后引流平均时间、住院平均时间分别为 (3.9± 0 .9)d、(8.2± 1.9)d ,外引流组分别为 (7.9± 2 .3)d、(16 .0±4 .3)d ,两组差异有非常显著性意义 (P <0 .0 1)。 结论 肾盂成形术后置双J管内引流的效果优于外引流支架管。
Objective To assess the advantages and disadvantages of urine drainage by double-J ureteral stent or by percutaneous indwelling stent for pyeloplasty. Methods A total of 62 patients who had undergone pyeloplasty (6 patients had undergone operation on both sides) were reviewed.These patients had 68 sides of drainage during operation.The therapeutic effects,relevant complications and recoveries of 31 sides with internal stent and 37 with external stent for pyeloplasty were analyzed retrospectively. Results The rate of total postoperative complications such as hematuria,urinary tract infection,anastomotic leakage of urine or stenosis and urinary salt deposit in the internal drainage group (7/31,22.6%) was remarkably lower than that of the external drainage group (17/37,45.9%), P <0.05.The mean postoperative hospitalization and duration of retroperitoneal indwelling in the internal drainage group (8.2±1.9)d and ( 3.9 ± 0.9 )d were notably less than those in the external drainage group (16.0±4.3)d and ( 7.9 ± 2.3 )d, P <0.01. Conclusions The results suggest that double-J stent is more effective and safer than percutaneous indwelling stent for postoperative drainage of pyeloplasty.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2004年第1期24-26,共3页
Chinese Journal of Urology
