婴儿先天性UPJO导致的肾积水手术时机及治疗策略研究进展  

Research progress of surgical timing and treatment strategies for hydronephrosis caused by congenital UPJO in infants

作　　者：孙启俊 刘章骥 符舒越 朴佳永 李昭铸[1] Sun Qijun;Liu Zhangji;Fu Shuyue;Piao Jiayong;Li Zhaozhu(Department of Pediatric Surgery,the Sixth Affiliated Hospital of Harbin Medical University,Heilongjiang,Harbin 150000,China)

机构地区：[1]哈尔滨医科大学附属第六医院小儿外科,黑龙江哈尔滨150000

出　　处：《发育医学电子杂志》2024年第4期290-295,F0002,共7页Journal of Developmental Medicine (Electronic Version)

基　　金：黑龙江省重点研发计划项目(2022ZX06C08)。

摘　　要：先天性肾盂输尿管连接部梗阻(ureteropelvic junction obstruction,UPJO)是导致先天性肾积水的常见原因,离断式肾盂输尿管成形术(Anderson-Hynes dismembered pyeloplasty)是治疗UPJO的金标准。尽管临床指南为手术指征提供了明确的指导,但由于婴儿体型小、肾脏尚处于发育阶段等因素,早期手术时机仍存在争议。本文主要通过手术指征、早期手术时机争议和手术方式3个方面,探讨婴儿先天性UPJO导致的肾积水手术时机及治疗策略。Congenital ureteropelvic junction obstruction(UPJO)was a common cause of congenital hydronephrosis,and Anderson-Hynes dismembered pyeloplasty was considered the gold standard for treating UPJO.Although clinical guidelines provide clear indications for surgery,early surgical timing remains controversial due to factors such as the small size of infants and the ongoing development of their kidneys.This paper primarily explores the surgical indications,controversies surrounding early surgical timing,and surgical techniques to explore the timing of surgery and treatment strategies for hydronephrosis caused by congenital UPJO in infants.

关 键 词：婴儿 先天性肾盂输尿管连接部梗阻 肾积水 手术 肾盂成形术 

分 类 号：R726.9[医药卫生—儿科]