儿童先天性尿路梗阻的介入治疗  

Interventional therapy for congenital urinary obstruction in children

作　　者：秦增辉[1] 黄穗[1] 刘帆[1] 扬锦元[1] 

机构地区：[1]武汉市儿童医院放射科,430016

出　　处：《介入放射学杂志》2005年第4期391-393,共3页Journal of Interventional Radiology

摘　　要：目的研究儿童先天性尿路梗阻疾病的介入治疗方法与疗效.方法对33例先天性肾盂输尿管连接处梗阻患儿,采用经皮肾造口术完成上尿路梗阻球囊扩张成形术或结合内支架治疗;42例先天性后尿道瓣膜,经尿道插管进行后尿道球囊扩张成形术.结果上尿路梗阻31例得到改善,术前症状消失,经1～7年观察随访疗效稳定,另2例上尿路梗阻未明显缓解,改行外科手术治疗.后尿道瓣膜病例组,经介入治疗后下尿路梗阻完全解除,1～10年观察随访疗效稳定.结论介入治疗方法具有微创,体表无瘢痕特点,通过长期观察随访,对先天性尿路梗阻的治疗效果稳定可靠.Objective To investigate the interventional therapy in children＇s congenital urinary obstruction and its efficacy. Methods Thirty-three children with congenital obstruction of ureteropelvic junction were treated through percutaneous dilation and/or stent placement, and 42 cases with posterior urethral valves were treated through trans-urethra dilation. Results Thirty-three cases with upper urinary obstruction were improved with symptoms disappeared and stable efficacy on long-term follow-up of 1-7 years. Another 2 cases with the upper urethral obstruction had not been relieved of symptoms and resorted to surgical operation. For patients with posterior urethral valves, the lower urethral obstruction was totally got rid of after interventional therapy with stable efficacy on long-term follow-up of 1-10 years. Conclusions Interventional therapy is safe, micro-invasive and efficient in treating congenital urinary obstruction with stable efficacy on long-term follow-up. （J Intervent Radiol 2005,14：391-393. ）

关 键 词：儿童 先天性尿路梗阻 介入治疗 介入治疗后 儿童先天性 先天性肾盂输尿管连接处梗阻 球囊扩张成形术 上尿路梗阻 后尿道瓣膜 治疗效果 

分 类 号：R726.9[医药卫生—儿科]