[1]阿布都赛米·阿布都热衣木,玉苏甫,和军,等. 双J管置入及经皮引流术对婴幼儿结石梗阻性肾积脓的治疗价值探讨[J].临床小儿外科杂志,2018,17(11):850-853.
　Abudousaimi·Abudoureyimu,Yu Sufu,He Jun,et al. Efficacy of double J tube inserting and percutaneous renal abscess drainage for obstructive renal empyema caused by urinary calculi in infants and young children.[J].Journal of Clinical Pediatric Surgery,2018,17(11):850-853.
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 双J管置入及经皮引流术对婴幼儿结石梗阻性肾积脓的治疗价值探讨

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年11期 页码: 850-853 栏目: 论著 出版日期: 2018-11-20
Title:
 Efficacy of double J tube inserting and percutaneous renal abscess drainage for obstructive renal empyema caused by urinary calculi in infants and young children.
作者:
 阿布都赛米·阿布都热衣木; 玉苏甫; 和军; 等.
 新疆维吾尔自治区人民医院小儿外科
Author(s):
 Abudousaimi·Abudoureyimu; Yu Sufu; He Jun; Li Kai; Liu Dong; Aunt Gu Li; Zhou Ling; Li Shuixue.
 Department of Pediatric Surgery,Peoples Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China.
关键词:
 ; 婴儿;  结石;  肾积脓;  治疗
Keywords:
 ; Infant;  Calculi;  Pyonephrosis;  Therapy
文献标志码:
A
摘要:
 目的初步探讨双J管及经皮引流术对婴幼儿结石梗阻性肾积脓的治疗价值。方法以新疆维吾尔自治区人民医院2012年1月至2016年12月收治的15例由上尿路结石崁顿引起肾周围积脓婴幼儿（<3周岁）为研究对象；其中8例行双J管置入引流，4例行双J管置入引流和经皮脓肿引流，3例行经皮肾引流；5例同时行钬激光碎石，其余患儿行二期碎石；术后给予正规抗炎治疗。结果15例患儿均成功引流，解除梗阻，术后加强抗炎治疗，有效避免了肾功能的进一步损害；引流1~2 d后症状均得到缓解，15例患儿均未发生菌血症、感染扩散及感染性休克等并发症。结论输尿管镜下置入双J管、经皮引流术可早期对婴幼儿结石梗阻性肾积脓进行引流；同时可尽早解除梗阻，控制感染，保护肾功能，是一种安全有效的治疗方法。
Abstract:
 ObjectiveTo explore the clinical value of double J tube inserting and percutaneous renal abscess drainage for renal empyema caused by upper urinary calculi obstruction in infants and young children (aged under 3 years).MethodsFrom January 2012 to December 2016,15 hospitalized cases of hydronephrosis,pyonephrosis and perinephric abscess caused by upper urinary calculi obstruction.The interventions included double J tube inserting (n=8),double J tube inserting plus percutaneous renal abscess drainage (n=4),percutaneous renal abscess drainage (n=3) and simultaneous holmium laser lithotripsy (n=5).The remainder underwent a second stone removal.ResultsAll operations were performed successfully.All cases received postoperative anti-inflammatory treatment to avoid further renal damage.After drainage for 1-2 days,the symptoms were relieved.None of them developed bacteremia,infection spread or septic shock.ConclusionIn infants and young children,renal empyema caused by upper urinary calculi obstruction may be effectively treated by Double J tube inserting and percutaneous renal abscess drainage.It can relieve obstruction quickly,control the infection and protect renal function.

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更新日期/Last Update: 2018-11-23