【摘要】 [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。更多还原

【Abstract】 [Objective] To discuss the value percutaneous nephrostomy in the treatment of neonatal hydronephrosis.[Methods] Carried out PCN to 11 cases of severe neonatal hydronephrosis,improvements in renal function were observed after 3 months,and then used Anderson-Hynes operation surgery.[Results] 11 cases of severe neonatal hydronephrosis with PCN treatment under local anesthesia guided by the B ultrasound,the operation was successful,without bleeding,infection,fistula blocking and desquamation.After 3 months,and then Anderson-Hynes operation was carried out.Then the follow-up time was 0.5-4 years,9 cases’ hydronephrosis symptom disappeared,1 cases was mild hydronephrosis,1 cases urinary tract infection.[Conclusion] PCN can retain renal function for severe neonatal hydronephrosis,Anderson-Hynes operation can reduce surgical complications and improve prognosis.更多还原