肾脏形态及功能评估对于先天性肾盂输尿管连接部梗阻手术决策的意义  

Significance of renal morphology and function assessment in determining operative timing for congenital ureteropelvic junction obstruction

作　　者：宋宏程[1] 李怡 李泽 Song Hongcheng;Li Yi;Li Ze(Department of Urology,Beijing Children's Hospital,Capital Medical University&National Children's Medical Center,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,北京市100045

出　　处：《临床小儿外科杂志》2021年第4期301-306,共6页Journal of Clinical Pediatric Surgery

基　　金：北京市医院管理中心儿科学科协同发展中心专项经费资助(编号:XTZD20180303)。

摘　　要：先天性肾盂输尿管连接部梗阻(ureteropelvic junction obstruction,UPJO)是指尿液自肾盂流入输尿管近端障碍,导致集合系统扩张,进而引起肾脏形态和功能改变的一种常见泌尿系统畸形。随着产前超声检查的普及,越来越多的无症状肾积水被检出,虽然部分肾积水可自行缓解,但部分肾积水如治疗不及时将导致肾功能损害。因此,正确评估肾积水引起的肾脏形态和功能改变,进而客观制定手术指征,把控适宜的手术时机对其预后至关重要。Ureteropelvic junction obstruction(UPJO)is a common urinary malformation in which the flow of urine from renal pelvis into the proximal end of ureter leads to dilation of the collection system.It may cause damage to renal morphology and function.With the widespread popularity of prenatal ultrasound,more and more asymptomatic UPJO have been detected.Some patients may be self-relieved while others have renal function damage.There is ongoing controversy about the surgical indications and timing of UPJO.It is important to understanding the changes of renal morphology and function,thus grasping the objective of making surgical indications and timing.

关 键 词：肾盂输尿管连接处梗阻 肾盂积水/诊断 肾/解剖学和组织学 肾功能试验 外科手术 

分 类 号：R726.9[医药卫生—儿科] R692.2[医药卫生—临床医学]