肾盂输尿管交界处狭窄致肾积水患儿术后肾形态及功能恢复研究  

Study on postoperative recovery of renal morphology and function in children with hydronephrosis caused by stenosis of ureteropelvic junction

作　　者：彭潜龙[1] 赵夭望[1] 刘小青[1] 殷波[1] PENG Qianlong;ZHAO Yaowang;LIU Xiaoqing;YIN Bo(Hunan Children 's Hospital,Changsha 410007,China)

机构地区：[1]湖南省儿童医院泌尿二科,长沙410007

出　　处：《中国中西医结合儿科学》2017年第5期36-39,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的观察肾积水患儿术后肾形态及功能恢复的情况。方法选择2013年1月30日至2016年6月30日湖南省儿童医院泌尿二科收治的肾盂输尿管交界处狭窄致肾积水并行手术治疗的患儿85例作为研究对象,观察术后临床疗效及B超检测肾盂长径和前后径、肾体积、肾皮质厚度,检测血肌酐和尿素氮水平。结果患儿患侧肾皮质厚度术后2周明显增加,术后24周趋于稳定,肾皮质厚度显著高于术前,差异有统计学意义(P<0.05);患侧肾体积术后2周明显缩小,术后8周趋于稳定,术后32周患侧肾体积与术前比较,差异有统计学意义(P<0.05);肾盂长径术后4周明显缩短,术后8周趋于稳定,与术前比较差异有统计学意义(P<0.05);肾盂前后径术后逐渐缩短,术后32周趋于稳定,与术前比较差异有统计学意义(P<0.05)。肾积水患儿术后血肌酐和尿素氮水平均低于术前,差异有统计学意义(P<0.05)。85例患儿肾积水术后肾功能恢复总有效率为96.47%(82/85),恢复良好。结论肾积水患儿术后肾体积无变化,患肾皮质厚度、肾盂长径、肾盂前后径形态明显改善,且随着恢复时间的增加趋于稳定,术后6~8个月各项指标趋于稳定。术后患肾功能及形态恢复良好,手术效果显著。ObjectiveTo observe the postoperative recovery of renal morphology and function in children with hydronephrosis.MethodsA total of85children were included in the study,who received operation for hydronephrosis caused by stenosis of ureteropelvic junction in Hunan Children's Hospital from Jan.30,2013to June30,2016.Observe the clinical effect after operation and determine the long diameter and the anterior and the posterior diameter of pelvis,renal volume and the thickness of renal cortex by B ultrasound,and the level of serum creatine and urea nitrogen was detected.ResultsAt two weeks after surgery,the thickness of renal cortex at the affected side was significantly increased and became stable at24weeks after surgery,and the thickness was significantly higher than that before surgery,the difference being statistical(P<0.05);the renal volume was significantly reduced and became stable at8weeks after operation,and comparing the volume at32weeks with that before surgery,there was statistically significant difference(P<0.05).At4weeks after surgery,the pelvic long diameter was significantly shortened and became stable at8weeks,there being statistical difference compared with before operation(P<0.05).After operation,the pelvic anterior and posterior diameter was gradually reduced and became stable at32weeks after operation,and there was statistical difference compared with before operation(P<0.05).The level of serum creatine and urea nitrogen after surgery was lower than that before,and the difference was statistical(P<0.05).The total effective rate of renal function recovery in the85children with hydronephrosis was96.47%(82/85)after operation,which proved to be a good recovery.ConclusionThere is no change in the postoperative renal volume in children with hydronephrosis;the thickness of the renal cortex,pelvic long diameter,and the morphology of anterior and posterior diameter are obviously improved and become stable with the time passing,which reach the stable state at6to8months after operation.The renal function and m

关 键 词：肾积水 术后 肾形态 肾功能恢复 儿童 

分 类 号：R725[医药卫生—儿科]