儿童肾盂输尿管连接处梗阻介入治疗的疗效评估  

Evaluation of Interventional Therapy Effect in Children with the Ureteropelvic Junction Obstruction

作　　者：秦增辉[1] 黄穗[1] 刘帆[1] 扬锦元[1] 刘凤玲[1] 

机构地区：[1]武汉市儿童医院放射科,430016

出　　处：《临床放射学杂志》2006年第1期69-71,共3页Journal of Clinical Radiology

摘　　要：目的评价儿童先天性肾盂输尿管连接处梗阻介入治疗的近、远期疗效。资料与方法33例先天性肾盂输尿管连接处梗阻患儿经皮肾造口施行球囊扩张输尿管成形术(1例植入支架),而后结合影像学,尿动力学,肾功能检查以及临床症状等指标评价近、远期疗效。结果术后近期肾盂压力较前显著下降,造影显示梗阻改善,肾功能指标恢复正常。1～7年随访临床症状消失27例(82%);症状明显改善4例(12%);2例(6%)症状无改善改行手术治疗。结论介入治疗方法具有微创、体表无瘢痕等特点,对儿童先天性肾盂输尿管连接处梗阻的疗效稳定而持久。Objective To evaluate the short and long term effect of interventional therapy in Children with ureteropelvic junction obstruction. Materials and Methods Ureteroplasty dilatation was accomplished by percutaneous nephrostomy in 33 children （plant stent in 1 ）, the short and long term effect of treatment was estimated with radiology, urine dynamics, kidney function examining and clinic symptom. Results Pelvise pressure descent was obvious in the recent, the obstruction was improved on radiography and the kidney function was normal. Following up during 1 - 7 years , Clinic symptom elimination was in 27 cases （82%）, Improvement in 4 （12%）, No improvement in 2 （6%） which were operated, Conclusion Advantagese of the interventional therapy are micro injury, no cicatrix on body surface, Long term and stable effect in children with ureteropelvic junction obstruction.

关 键 词：肾盂输尿管连接处梗阻 儿童 介入治疗 疗效评估 

分 类 号：R726.9[医药卫生—儿科]