摘要
肾盂输尿管连接处梗阻(UPJO)所致肾积水是儿童常见先天性泌尿系统畸形,是尿液排出受限导致的集合系统扩张。大部分先天性肾积水在随访中可自愈,而病理性肾积水,如不及时手术,会造成不可逆肾功能损害。超声是儿童UPJO最常用的检查方法,而关于如何精确定义梗阻及应用超声早期预测可从手术获益的肾积水患儿仍存在争议。现通过回顾近年国内外相关文献,综述儿童UPJO肾积水超声图像与非手术治疗预后相关性的研究进展。
Hydronephrosis caused by ureteropelvic junction obstruction(UPJO) is a common urinary abnormality in children which involves dilation in the urinary tract due to limitation in urinary drainage.Most cases would resolve spontaneously, but the others who were short of adequate treatment would lead to irreversible renal damage.Ultrasonography is the most common examination for UPJO.However, there exists disagreement in the way to define obstruction accurately or to predict which patient will benefit from surgical intervention by ultrasonography.By reviewing the related national data the authors analyzed the advance on prognosis of ultrasonography and the non-surgical outcomes of UPJO.
作者
肖兴望
何大维
Xiao Xingwang;He Dawei(Department of Urology,Children′s Hospital of Chongqing Medical University,Ministry of Education Key Laboratory of Child Development and Disorder,Key Laboratory of Pediatrics in Chongqing,Chongqing International Science and Technology Cooperation Center for Child Development and Disorders,Chongqing 400014,China)
出处
《中华实用儿科临床杂志》
CSCD
北大核心
2019年第11期873-876,共4页
Chinese Journal of Applied Clinical Pediatrics
基金
国家重点研发计划项目(2016YFE0203900).
关键词
肾积水
肾盂输尿管连接处梗阻
超声图像
手术
Hydronephrosis
Ureteropelvic junction obstruction
Ultrasonography
Operation
