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目的探讨膀胱皮肤造口术在新生儿尿路畸形患儿中的早期应用。方法回顾性分析我院2003年1月至2006年6月因先天性尿路畸形行膀胱皮肤造口术的患儿资料,包括原发病、临床表现、影像检查、皮肤膀胱造口术后转归等。结果共13例新生儿,均为男婴,手术日龄16～28天,平均22天,其中后尿道瓣膜8例,前尿道瓣膜1例,双侧原发性膀胱输尿管反流4例。膀胱皮肤造口术后半年至1年复查,2例因皮肤膀胱造口狭窄改为膀胱造瘘,1例仍间断反复泌尿系感染,17侧膀胱输尿管反流中6侧反流消失,16侧肾输尿管积水中5侧消失,无肾、输尿管积水及膀胱输尿管反流加重病例。结论尿路畸形新生儿行皮肤膀胱造口术操作简单、易护理,可有效引流尿液,抑制膀胱输尿管反流,改善泌尿系感染,保护肾功能。
Objective To investigate the early application of bladder skin ostomy in neonates with urinary tract deformity. Methods A retrospective analysis of our hospital from January 2003 to June 2006 due to congenital urinary tract malformations of bladder skin ostomy in children, including primary disease, clinical manifestations, imaging examination, skin bladder stoma after the transfer Equal. Results A total of 13 newborns, all male infants, were aged from 16 days to 28 days with an average of 22 days. There were 8 cases of posterior urethral valve, 1 case of anterior urethral valve and 4 cases of bilateral primary vesicoureteral reflux. Bladder ostomy after six months to 1 year review, 2 cases of skin due to bladder ostomy into cystostomy, 1 case still repeated intermittent urinary tract infection, 17 side vesicoureteral reflux in the 6 side of the reflux disappeared, 16 side Kidney ureter hydronephrosis disappeared 5 side, no kidney, ureteral hydronephrosis and vesicoureteral reflux worse cases. Conclusions Urinary tract malformations in neonatal skin bladder surgery is simple and easy to care, can effectively drain the urine, inhibit vesicoureteral reflux, improve urinary tract infection, protect renal function.