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肾盂成形术治疗先天性肾积水

Treatment of pyeloplasty for giant hydronephrosis
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摘要 目的 报告我院自 1 993年 2月至 2 0 0 1年 5月对 43例先天性肾积水患者行肾盂成形术 ,探讨重度积水的患肾取舍指征、成形术式及成功要点。本组男 31例 ,女 1 2例 ,年龄 5个月~ 36岁 ,左侧 2 4例 ,右侧 1 6例 ,双侧 3例。 39例次行离断性肾盂成形术 (Andersou -Hynes) ,4例行连续性肾盂成形术 ,3例行患肾切除术。治愈 40例次(93 % )失败 3例 (7% )。Andersou -Hynes术式设计合理 ,治愈率高 。 Objective: From 1993.1 to 2001.5,43 cases of giant hydroephrosis were underwent pyeloplasty,among them male were 31 cases,female 12 cases.The ages were 1/2 to 36 years.Hydroephrosis of 24 cases were in left side,16 cases in right and 3 cases in both sides.Surgical treatment for hydroephrosis consisting of Anderson-Hynes pyeloplasty in 39,continouse pyeloplasty in 4 and nephrostomy in 3.40 cases were cured(93%) and 3 failure occurred.Therefore,Anderson-Hynes pyeloplasty was considered the best choice for hydroephrosis.
出处 《海南医学》 CAS 2002年第6期9-11,共3页 Hainan Medical Journal
关键词 肾盂成形术 治疗 先天性肾积水 肾盂输尿管连接部狭窄 Hydroephrosis Ureteropelvic junction stricture Pyeloplasty
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  • 1[1]Crooks K, Hendren H, Pfister R. Giant hydronephrosis in children. J Pediatr Surg, 1979,14:844-850.
  • 2[2]Koff S. Pathophysiology of ureteropelvic junction obstruction: clinical and experimental observations.Urol Clin North Am, 1990,17:263-272.
  • 3[3]Dewan P A,Ng K P,Ashwood P J. The relationship of age to pathology in pelviureteric junction. J Paediatr Child Health, 1998,34:384-386.
  • 4[4]Ward A M, Kay R, Ross J H. Ureteropelvic junction obstruction in children. Unique considerationsopen operative intervention. Clin North Am, 1998,25:211-217.
  • 5曲孟泰.先天性肾积水的诊断与治疗[J]国外医学泌尿系统分册,1981(05).

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