小儿肾积水手术治疗及其疗效观察.pdfVIP

华 中 科 技 大 学 硕 士 学 位 论 文 reimplantation, 3 cases by nephroureterectomy and 1 cases were treated by ureteric polyp resect and an end-to-end anastomosis of the ureter were performed. Among the cases underwent dismembered pyeloplasty, 10 cases were placed external drainage fistula through the anastomotic mouth, and 30 cases were placed double J tube internal drainage. The stenosis of UPJ were sent to pathological examination. Ultrasound and ECT were reviewed periodically after operation. Results 48 cases were cured in the first surgery, and one was cured after a second surgery, and 3 cases lost kidney. The complications in the group placed double J tube significantly lower than the group placed external drainage fistula (3.3% VS 40%，P0.01). Symptoms were disappeared and the degree of hydronephrosis was alleviated obviously through ultrasound examination. The mean preoperative and postoperative renal function of 26 cases was （23.58±9.28）ml/min and （33.25±10.63）ml/min respectively (p0.01). Conclusions 1、Double J tube internal drainage should be the best choice in the Anderson-Hynes pyeloplasty. 2、Hydronephrosis in children must be early treated by surgery. To resect obstruction or resist vesico-ureteric reflux can recover renal function greatly. Key words: Children, Hydronephrosis, Surgical treatment, Effect. 4 独创性声明 本人郑重声明，本学位论文是本人在导师指导下进行的研究工作及取得的研究成 果的总结。尽我所知，除文中已经标明引用的内容外，本论文不包含任何其他个人或 集体已经发表或撰写过的研究成果。对本文的研究做出贡献的个人和集体，均已在文 中以明确方式标明。本人完全意识到本人将承担本声明引起的一切法律后果。 学位论文作者签名： 日期： 年 月 日 学位论文版权使用授权书 本学位论文作者完全了解学校有关保留、使用学位论文的规定，即：学校有权保 留并向国家有关部门或机构送交论文的复印件和电子版，允许论文被查阅和借阅。本 人授权华中科技大学可以将本学位论文的全部或部分内容编入有关数据库进行检索， 可以采用影印、缩印或扫描等复制手段保存和汇