Yan Bing,Zhanghuang Chenghao,Tang Haoyu,et al.Analysis of curative efficacy for open small incision Anderson-Hynes treatment of children with hydronephrosis: a report of 83 cases[J].Journal of Clinical Pediatric Surgery,,19():432-436.[doi:10.3969/j.issn.1671-6353.2020.05.011]
Analysis of curative efficacy for open small incision Anderson-Hynes treatment of children with hydronephrosis: a report of 83 cases
- Keywords:
- Hydronephrosis; Anderson-Hynes; Treatment; Child
- CLC:
- R726.9;R692.2
- Abstract:
- Objective To explore the effectiveness and necessity of pyeloureteroplasty for ureteropelvic junction obstruction in infants and toddlers.Methods The clinical data were retrospectively reviewed for 83 children undergoing open Anderson-Hynes procedure for hydronephrosis from July 2016 to June 2017.In conjunctions with the recent domestic and international literatures,the curative efficacy was evaluated from the perspectives of operative duration,amount of intraoperative hemorrhage,days of hospitalization and occurrences of postoperative complications.Results The average age was (2.1±1.9)years.The involved side was left (n=47),right (n=28) and bilateral (n=8).There were re-operation for aggravated hydrops (n=3),recurrent urinary tract infection (n=3) and non-relief of hydronephrosis after extraction (n=1).The average operative duration was (45-165)(95.2±26.5) min,the average volume of blood loss (2-15)(6.9±3.5) ml and the hospitalization duration (5-28)(12.2±4.2) days.Removing double-J tube was delayed until 3 months due to urinary extravasation and long-segment ureteral obstruction of ureter (n=5).For the remainder,removal occurred at 1 month post-operation.No tube retraction or stone occurred during a mean follow-up period of 1.7(0.5-3) years.The anterior and posterior diameter of renal pelvis decreased postoperatively[(44.2±18.4) versus (16.1±9.6) mm,P<0.001].And the postoperative renal cortical thickness was greater than the preoperative counterpart[(9.3±1.4) versus (4.2±2.0) mm,P<0.001].All obstructions were successfully relieved.The symptoms were alleviated and the clinical symptoms disappeared.Conclusion With a short learning curve,open small incision Anderson-hynes procedure is effective.Its requirement of hardware facilities is low so that it is worth wider popularization at secondary and tertiary hospitals without laparoscopic equipment.
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Memo
收稿日期:2019-11-16。
基金项目:云南省教育厅科学研究基金（编号：2020J0228）
通讯作者:张黄成昊,Email:736564145@qq.com