Estornell Moragues F, Martínez Verduch M, Domínguez Hinarejos C, García-Ibarra F
Sección de Urología Pediátrica, Hospital La Fé, Valencia.
Actas Urol Esp. 1990 Nov-Dec;14(6):391-5.
This paper reviews the surgical procedure performed in 119 kidneys (114 children), diagnosed with congenital hydronephrosis due to pyeloureteral juncture stenosis (PUJS). Approaches used for diagnosis and choice of surgical techniques are commented. Puncture/nephrostomy with functional kidney assessment has been the method selected in extreme cases. Nephrectomy was the chosen option in 8 cases (6.7%) while conservative surgery was indicated in the others. Anderson-Hynes dismembered pyeloureteral plasty was the technique used in 110 cases with a 97.28% rate of success. Post-operative occurrences are commented and are related to the presence of pre- and post-operative derivation.
本文回顾了119例（114名儿童）因肾盂输尿管连接处狭窄（PUJS）而诊断为先天性肾积水的肾脏所实施的手术过程。对用于诊断的方法及手术技术的选择进行了评述。在极端情况下，采用穿刺/肾造瘘术并进行功能性肾脏评估作为选择的方法。8例（6.7%）选择了肾切除术，其他病例则采用保守手术。110例采用了安德森-海恩斯离断性肾盂输尿管成形术，成功率为97.28%。对术后出现的情况进行了评述，并与术前和术后引流的存在相关。
