关注儿童肾盂输尿管连接处梗阻手术并发症及肾损伤问题  

Surgical complications and managements of ureteropelvic junction obstruction in children

作　　者：刘超[1] 张潍平[1] Liu Chao;Zhang Weiping(Department of Urology,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院泌尿外科,北京100045

出　　处：《临床小儿外科杂志》2024年第4期301-304,共4页Journal of Clinical Pediatric Surgery

基　　金：北京市科委、中关村管委会"医药创新品种及平台培育"专项(Z231100004823034)

摘　　要：肾盂输尿管连接处梗阻是儿童常见的泌尿系统畸形。离断式肾盂成形术因其适应证广、易操作、并发症少等特点,目前被认为是手术治疗的金标准。尽管总体手术成功率在90%以上,但如何进一步降低术后并发症发生率,避免出现高等级并发症,使患儿术后恢复更顺利,获得更好的预后,仍然是小儿泌尿外科医师追求的目标。对于肾功能损伤程度的判定,也是目前临床关注的热点问题。本文就儿童肾盂输尿管连接处梗阻手术并发症以及肾功能损伤的研究进展进行述评。Ureteropelvic junction obstruction(UPJO)is a common urinary malformation in children.And dismembered pyeloplasty has been a"gold standard"for surgery due to its extensive indications,convenient handling and low complication rate.Although overall successful operative rate has surpassed 90%,pediatric urologists are striving to lower the incidence of postoperative complications,prevent the occurrences of high-grade complications,enable a rapid recovery and achieve optimal outcomes.Assessing the severity of renal injury remains a daunting challenge.This review focused upon the causes and managements of surgical complications of UPJO in children.

关 键 词：肾盂输尿管连接处梗阻 手术中并发症 手术后并发症 肾损伤 儿童 

分 类 号：R726.9[医药卫生—儿科]