论文部分内容阅读
[目的]探讨经皮肾穿刺造瘘置管术(PCN)在治疗新生儿肾积水中的应用。[方法]对11例重度肾积水新生儿患者暂行经皮肾穿刺造瘘置管术予以引流,3个月后肾功能明显改善,再以Anderson-Hynes术行手术治疗。[结果]11例重度肾积水患儿均于B超引导局麻下成功行经皮肾穿刺造瘘置管术,手术顺利,无术中术后出血、感染、造瘘管堵塞、脱落等并发症,3个月后行Anderson-Hynes术。术后随访0.5～4年,肾积水消失9例,轻度积水1例,尿路感染1例。[结论]对重度肾积水新生儿患者暂行经皮肾穿刺造瘘置管术予以引流可保留肾功能,再择期行Anderson-Hynes术可减少手术并发症,改善预后。
[Objective] To explore the application of percutaneous nephrostomy catheterization (PCN) in the treatment of neonatal hydronephrosis. [Method] 11 cases of severe hydronephrosis neonates were treated by percutaneous nephrostomy catheter drainage, 3 months after the renal function improved significantly, then Anderson-Hynes surgery. [Results] All the 11 children with severe hydronephrosis were successfully treated with percutaneous nephrostomy under B-guided local anesthesia. The operation was successful and no complications, such as hemorrhage, infection, fistula occlusion or exfoliation, were found , Anderson-Hynes operation 3 months later. Follow-up 0.5 to 4 years after surgery, hydronephrosis disappeared in 9 cases, 1 case of mild hydrocephalus, urinary tract infection in 1 case. [Conclusions] Anderson-Hynes procedure can reduce the complications and improve the prognosis of patients with severe hydronephrosis neonatal by percutaneous nephrostomy catheterization to retain renal function.