发育医学电子杂志 Vol. 12 290-295 DOI: 10.3969/j.issn.2095-5340.2024.04.008
结构畸形
综述
婴儿先天性UPJO 导致的肾积水手术 时机及治疗策略研究进展
孙启俊 刘章骥 符舒越 朴佳永 李昭铸
哈尔滨医科大学附属第六医院 小儿 外科，黑龙江 哈尔滨 150000）
Research progress of surgical timing and treatment strategies for hydronephrosis caused by congenital UPJO in infants
Sun Qijun, Liu Zhangji, Fu Shuyue, et al
Department of Pediatric Surgery, the Sixth Affiliated Hospital of Harbin Medical University, Heilongjiang, Harbin 150000, China)
摘要 【摘要】 先天性肾盂输尿管连接部梗阻（ureteropelvic junction obstruction，UPJO）是导致先天性肾积水的常见原因，离断式肾盂输尿管成形术（Anderson-Hynes dismembered pyeloplasty）是治疗UPJO 的金标准。 尽管临床指南为手术指征提供了明确的指导，但由于婴儿体型小、肾脏尚处于发育阶段等因素，早期手 术时机仍存在争议。本文主要通过手术指征、早期手术时机争议和手术方式3 个方面，探讨婴儿先天性 UPJO 导致的肾积水手术时机及治疗策略。
关键词:
婴儿
先天性肾盂输尿管连接部梗阻
肾积水
手术
肾盂成形术
Abstract: 【Abstract】 Congenital ureteropelvic junction obstruction (UPJO) was a common cause of congenitalhydronephrosis, and Anderson-Hynes dismembered pyeloplasty was considered the gold standard for treating UPJO. Although clinical guidelines provide clear indications for surgery, early surgical timing remains controversial due to factors such as the small size of infants and the ongoing development of their kidneys. This paper primarily explores the surgical indications, controversies surrounding early surgical timing, and surgical techniques to explore the timing of surgery and treatment strategies for hydronephrosis caused by congenital UPJO in infants.
Key words:
Infant
Ureteropelvic junction obstruction
Hydronephrosis
Surgery
Pyeloplasty
收稿日期: 2024-04-16
发布日期: 2024-07-31
基金资助: 黑龙江省重点研发计划项目（2022ZX06C08）
通讯作者:
李昭铸
E-mail: zhaozhu247@163.com
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