双J管内引流在小儿肾盂成形术应用.docVIP

双J管内引流在小儿肾盂成形术应用 　　[摘要] 目的 探讨小儿肾盂成形术中采用双J管内引流的临床效果。方法 方便选择该院2013年12月―2015年12月收治的肾盂积水患儿36例，根据引流方式的不同分为两组，其中18例患儿采用外支架管引流+肾造瘘方式引流作为对照组，另18例患儿采用双J管内引流作为观察组，观察两组患儿引流后的临床效果情况。结果 36例患儿中，观察组患儿（双J管内引流）的住院时间和支架管取出时间均明显优于对照组患儿（外支架引流），观察组患儿术后出现1例（5.6%）泌尿系感染明显优于对照组患儿术后出现3例（16.7%）泌尿感染，经抗生素处理后均得以有效控制；差异具有统计学意义（P0.01）。 结论 小儿肾盂成形术采用双J管内引流，有效的减少了患儿术后再狭窄，降低了术后并发症的发生，缩短了患儿的住院时间，提高了临床治疗效果，操作简单、使用安全，值得临床推广应用。 　　[关键词] 小儿肾盂成形术；双J管内引流；肾造瘘 　　[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742（2016）07（b）-0088-03 　　Clinical Application of Double J Tube Drainage in the Children’s Pyeloplasty 　　XU Hui-huang 　　Pediatric surgery of the provincial hospital of Fujian Province ，Fuzhou，Fujian Province， 350001 China；Provincial Clinical Medical College of Fujian Medical University， Fuzhou，Fujian Province，350001 China 　　[Abstract] Objective To study the clinical effect of double J tube drainage in the children’s pyeloplasty. Methods Convenient selection 36 children with hydronephrosis treated from December 2013 to December 2015 in our hospital were selected. The subjects were divided into two groups， 18 cases each group. The control group adopted the drainage of external stents and nephrostomy； the observation group adopted the double J tube drainage； the clinical efficacy for two groups was observed. Results The hospitalization time and time of taking out the stents for observation group was shorter than that of control group； the incidence rate of urinary infection for observation group （5.6%， one case） was lower than that of control group （16.7%， 3 cases）； the infection was controlled with the antibiotic therapy （P0.01）. Conclusion During the process of pyeloplasty， the double J tube drainage is easy and safe to operate， can efficiently reduce the incidence rate of complications and postoperative restenosis， shorten the hospitalization time and improve the clinical efficacy. It is worthy of clinical promotion and application. 　　[Key words] Pyeloplasty； Double J tube drainage； Nephrostomy 　　肾盂积水是临床泌尿系统中