双侧肾盂输尿管连接处梗阻性肾积水的诊治进展  

Progress in Diagnosis and Treatment of Bilateralhydronephrosis Due to Ureteropelvic Junction Obstruction

作　　者：李振鹏 何大维[1] 

机构地区：[1]重庆医科大学附属儿童医院泌尿外科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,重庆

出　　处：《临床医学进展》2023年第3期4110-4116,共7页Advances in Clinical Medicine

摘　　要：肾盂输尿管连接处梗阻(ureteropelvic junction obstruction, UPJO)是儿童肾积水最常见的病因,20%~39%的患儿为双侧UPJO。Anderson-Hynes肾盂成形术是UPJO手术的标准术式,腹腔镜下双侧同期肾盂成形术也已被论证为安全可行。然而双侧UPJO的手术指征尚不明确,且双侧UPJO的诊疗意见尚未统一。目前保守治疗,分期手术,双侧同期手术的方案均有使用。现通过回顾近年国内外相关文献,综述儿童双侧UPJO的诊治进展。Ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis in children, with bilateral UPJO occurring in 20%~39% of children. Anderson-Hynes pyeloplasty is the standard procedure for UPJO, and simultaneously bilateral pyeloplasty by laparoscopy has also been proved to be safe and feasible. However, the surgical indications of bilateral UPJO are not clear, and the di-agnosis and treatment of bilateral UPJO have not been unified. At present, conservative treatment, staged pyeloplasty, and simultaneously bilateral pyeloplasty are all used. This article reviews the progress of diagnosis and treatment of bilateral UPJO children by reviewing the relevant literature at home and abroad in recent years.

关 键 词：肾积水 双侧肾盂输尿管连接处梗阻 肾盂成形术 

分 类 号：R69[医药卫生—泌尿科学]