CAJ | 학술논문

目的：探讨经腰部小切口离断式肾盂输尿管成形术治疗独肾肾盂积水的可行性及疗效。方法回顾性分析2010年12月至2013年2月我们收治的17例独肾肾盂积水患儿临床资料，男10例，女7例。其中16例行腰部小切口离断式肾盂输尿管成形术加肾盂造瘘术，1例行单纯经腰部小切口离断式肾盂输尿管成形术。术后逐月复查超声及尿常规，术后1年复查静脉肾盂造影了解肾积水恢复情况。均获3个月至3年随访。结果17例均手术成功，术后均逐月复查患肾超声及尿常规，无严重尿路感染，无镜下血尿等。超声检查提示肾实质均较术前增厚，集合系统分离明显减轻，3例已无积液。15例获长期随访患儿术后1年复查静脉肾盂造影，均于2 min内显影。结论独肾肾盂积水应积极处理，采取精确定位下经腰部小切口离断式肾盂输尿管成形术加肾盂造瘘术是安全有效的一种术式。
목적：탐토경요부소절구리단식신우수뇨관성형술치료독신신우적수적가행성급료효。방법회고성분석2010년12월지2013년2월아문수치적17례독신신우적수환인림상자료，남10례，녀7례。기중16례행요부소절구리단식신우수뇨관성형술가신우조루술，1례행단순경요부소절구리단식신우수뇨관성형술。술후축월복사초성급뇨상규，술후1년복사정맥신우조영료해신적수회복정황。균획3개월지3년수방。결과17례균수술성공，술후균축월복사환신초성급뇨상규，무엄중뇨로감염，무경하혈뇨등。초성검사제시신실질균교술전증후，집합계통분리명현감경，3례이무적액。15례획장기수방환인술후1년복사정맥신우조영，균우2 min내현영。결론독신신우적수응적겁처리，채취정학정위하경요부소절구리단식신우수뇨관성형술가신우조루술시안전유효적일충술식。
Objetive To investigate the outcome and surgery treatment of hydronephrosis of solitary kid-ney patient. Methods 1 7 patients (1 0 males and 7 females)were retrospectively reviewed between October 201 0 and February 201 3,who had been diagnosed with hydronephrosis of solitary kidney and received surgical treatment.The follow-up time was 3 months to 3 years.All patients were followed up with ultrasonography and routine urine test monthly and 1 5 patients received intravenous pyelography in the first year after operation. Results All 1 7 patients received surgical intervention,except one patient who received ureteropyeloplasty oper-ation,the other 1 6 patients received ureteropyeloplasty operation and nephrostomy both.All operation went smoothly.All patient received 3months to 3 years follow-up with routine urine test and ultrasonography month-ly.No severe urinary tract infection and hematuria was noted.The thickening of renal parenchyma and relea-sing of hydronephrosis were observed in all cases by ultrosonography study,and what’s more,no hydronephro-sis were observed in 3 patients.All kidneys developed less than 2 minutes during the intravenous pyelography study in the first year after operation. Conclusion Hydronephrosis of solitary kidney patient should be treated positively and cautiously.Ureteropyeloplasty operation plus nephrostomy via lumbar micro-incision is a safe and effective choice for hydronephrosis of solitary kidney patient.