小儿先天性巨输尿管症的治疗(附16例报告)

• 作 者: 钟斌 傅忠
• 机 构: 江西省赣州市妇女儿童医院外科,江西省赣州市妇女儿童医院外科 江西赣州341000,江西赣州341000
• 出 处: 中国医师杂志
• 发表日期: 2005年S1期
• 关键词: 巨输尿管症 中度肾积水 输尿管 重度肾积水 中度积水 患侧输尿管 远端输尿管 巨输尿管 重度积水 膀胱再植术

目的探讨小儿先天性巨输尿管症的临床特点及治疗方法。方法对我院1993-10~2003-10间16例小儿先天性巨输尿管症进行回顾性研究,总结小儿先天性巨输尿管症的临床表现及检查方法,并对手术进行评价。结果手术方式:13例行Cohen手术,1例行患肾输尿管切除手术,2例行保守治疗。结论对重度肾积水患儿主张早期手术治疗,对轻中度肾积水的婴幼儿可保守治疗,随访。

Objective To investigate the clinical features and treatment of congenital giant ureter in children. Methods A retrospective study was performed on 16 cases of pediatric congenital megacurease in our hospital from 1993-10 to 2003-10 to summarize the clinical manifestations and examination methods of pediatric congenital megacurease and to evaluate the operation. Results of the operation: 13 patients underwent Cohen operation, 1 patient underwent renal ureteral resection and 2 received conservative treatment. Conclusions The patients with severe hydronephrosis advocate early surgical treatment of mild to moderate hydronephrosis in infants and young children can be conservative treatment, follow-up.