Use of double-J ureteric stents post-laparoscopic pyeloplasty to treat ureteropelvic junction obstruction in hydronephrosis for pediatric patients: a single-center experience
Use of double-J ureteric stents post-laparoscopic pyeloplasty to treat ureteropelvic junction obstruction in hydronephrosis for pediatric patients: a single-center experience
复制标题
腹腔镜肾盂成形术后使用双J输尿管支架治疗儿童肾积水肾盂输尿管连接部梗阻：单中心经验
DOI：
10.1177/0300060520918781
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发表时间：
2020-04-01
影响因子：
1.6
通讯作者：
Zhang, Aihua
中科院分区：
文献类型：
--
作者：
Zhu, Haobo;Wang, Jun;Zhang, Aihua
目的：我们的目的是探讨与放置双J输尿管支架管腹腔镜肾盂成形术后先天性肾盂输尿管连接部梗阻（UPJO）和肾积水的安全性问题。方法回顾性分析我中心1349例术后双J管置入患者的临床资料。由两位独立作者收集入组患者的临床变量。我们比较了临床变量和腹腔镜肾盂成形术后支架植入术的疗效。结果患者平均年龄4.23 ± 2.39岁。左UPJO合并肾积水占58.49%，右UPJO占33.95%。此外，7.56%的患者患有双侧UPJO。所有病例中，96.96%的留置双J支架在术后4周成功取出。共有3.04%的患者仍需要进一步管理，包括支架移位至肾盂（0.37%）、支架移位至膀胱（0.30%）、支架脱出输尿管（0.15%）、支架堵塞（1.85%）和支架污染（0.37%）。结论腹腔镜肾盂成形术后放置双J管治疗小儿肾盂积水UPJO安全、可行、有益，可推荐作为常规治疗方法。但是，使用这种方法进行随访和取出时应谨慎。
Objectives We aimed to investigate the safety concerns associated with placing double-J ureteric stents post-laparoscopic pyeloplasty surgery for congenital ureteropelvic junction obstruction (UPJO) and hydronephrosis. Methods A total of 1349 patients with postoperative double-J stent placement at our center were included. Clinical variables for enrolled patients were collected by two independent authors. We compared clinical variables and the efficacy of stenting post-laparoscopic pyeloplasty. Results The mean age of the patients was 4.23 ± 2.39 years. A total of 58.49% of patients were diagnosed with left UPJO with hydronephrosis and 33.95% were diagnosed with right UPJO. Furthermore, 7.56% of patients had bilateral UPJO. In all cases, 96.96% of indwelling double-J stents were successfully removed 4 weeks post-surgery. A total of 3.04% of the patients still required further management, including stent migration to the renal pelvis (0.37%), stent migration to the bladder (0.30%), prolapse of the stent through the ureter (0.15%), blockage of stents (1.85%), and fouling of stents (0.37%). Conclusions Double-J ureteric stents used after laparoscopic pyeloplasty for treating UPJO in hydronephrosis for pediatric patients is a safe, feasible, and beneficial method, which can be recommended for routine procedures. However, caution should be practiced for follow-up and removal using this method.