论文部分内容阅读
目的探讨婴幼儿肾盂输尿管连接部梗阻(UPJO)致双侧肾积水的手术治疗及其疗效。方法总结分析本院2004年1月-2010年6月收治的婴幼儿期接受离断式肾盂成形术治疗的32例双侧肾积水患儿的临床资料,并对其治疗效果进行分析。结果 11例行双侧一次和1个月内分次行手术治疗的患儿术后恢复良好。21例行较重一侧肾积水手术后,对侧随访观察。经观察2例对侧肾积水无减轻,3个月后行手术治疗。19例对侧肾积水均有减轻或消失,肾实质增厚,未行手术。结论双侧重度肾积水可一次或分次行双侧手术治疗,一侧重一侧较轻的肾积水,手术解除重侧后,对侧肾积水可减轻,一般不需要手术,但需严密观察随诊。实用儿科临床杂志,2011,26(11):848-849
Objective To investigate the surgical treatment of bilateral hydronephrosis caused by ureteropelvic junction obstruction (UPJO) in infants and young children and its curative effect. Methods The clinical data of 32 cases of bilateral hydronephrosis treated by interrupted pyeloplasty from January 2004 to June 2010 in our hospital were summarized and analyzed, and the treatment effect was analyzed. Results In 11 cases, the patients who underwent surgical treatment both in one side and one month were recovered well. After 21 cases of hydronephrosis on the one side, the contralateral follow-up was observed. After 2 cases of contralateral hydronephrosis observed no reduction, 3 months after surgery. 19 cases of contralateral hydronephrosis have reduced or disappeared, thickened renal parenchyma, no surgery. Conclusions Bilateral severe hydronephrosis may be treated by bilateral surgery once or sub-time. On one side, the hydronephrosis on one side is lighter than that on the latter. After the operation is relieved, the contralateral hydronephrosis may be relieved, and surgery is generally not needed. Close observation follow-up. Practical Journal of Pediatrics, 2011,26 (11): 848-849