Application Effect and Prognosis Analysis of D-J Tube in Pediatric Pyeloplasty—Propensity Score Matching
10.11969/j.issn.1673-548X.2024.10.017
- VernacularTitle:D-J管在儿童肾盂成形术中的应用分析
- Author:
Hongyang WANG
1
;
Jinqiu SONG
;
Long LI
Author Information
1. 100020 北京,首都儿科研究所附属儿童医院泌尿外科
- Keywords:
Pyeloplasty;
D-J catheter;
Prognostic model;
Ureteropelvic junction obstruction;
Propensity score matching
- From:
Journal of Medical Research
2024;53(10):93-98
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the indications and prognosis of the D-J tube internal drainage method in pediatric pyeloplasty surgery.Methods We conducted a retrospective analysis of cases of unilateral pyeloplasty performed in the urology department of the Capital Institute of Pediatrics from January 2012 to January 2022.They were divided into the D-J tube group(396 cases)and the py-elostomy group(334 cases)according to different postoperative drainage methods.The propensity score matching method was used to e-venly match the baseline data of the two groups of cases,and the complications and prognosis of the two drainage methods were compared.Results D-J tube drainage could significantly reduce the average hospitalization time,reduce pain,alleviate skin scars,and improve the quality of medical care and care.D-J tube could increase the risk of postoperative urinary tract infection and re-obstruction in chil-dren,and clinical application should be cautious.A predictive model was established for urinary tract infections after D-J tube implanta-tion,including gender,side profile,height,renal parenchymal thickness,and blood urea nitrogen.Conclusion The D-J tube internal drainage method can significantly reduce the length of hospital stay and nursing burden after pediatric pyeloplasty surgery.Although it may increase the risk of urinary tract infection in the near and medium term,the risk of urinary tract infection can be predicted.The use of D-J tubes should be carefully selected in males,small infants,and severe hydronephrosis.
