Surgical treatment of UPJO with pyelonephrosis in children

Shao-Qiang Duan, Xing Liu, Tao Liu, Xu Wang, Guang-xue Li, Taizhong Chen, Boxing Liu
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Abstract

In 2022, we treat 2 children with hydronephrosis and pyonephrosis, 1 with primary ureteropelvic junction obstruction and 1 with recurrent obstruction after laparoscopic pyeloplasty.All children have purulent pyelonephritis and urinary abdomen. After comprehensive anti-infection+abdominal drainage +renal pelvis drainage, the infection was significantly improved, and they were cured and discharged after pyeloplasty under general anesthesia. Conclusion: UPJO complicated with pyonephrosis in children is rare, and the most important treatment principle for hydronephrosis complicated with pyonephrosis is adequate drainage. Comprehensive anti-infection + open drainage infection treatment and control followed by conventional pyeloplasty can cure as soon as possible and return to normal life.It has the advantages of good safety effect and easy promotion.
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儿童UPJO合并肾盂肾炎的手术治疗
在2022年,我们治疗了2例儿童肾积水和肾盂积水,1例原发性肾盂输尿管连接处梗阻,1例腹腔镜肾盂成形术后复发性梗阻。所有患儿均有化脓性肾盂肾炎和尿腹。经全面抗感染+腹腔引流+肾盂引流后,感染明显改善,全麻下行肾盂成形术治愈出院。结论:儿童UPJO合并肾盂肾盂少见,肾积水合并肾盂肾盂最重要的治疗原则是充分引流。综合抗感染+开放引流感染治疗与控制,再辅以常规肾盂成形术,可早日治愈,恢复正常生活。具有安全效果好、推广方便等优点。
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