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儿童梗阻性输尿管积水的内镜治疗。

Endoscopic treatment of obstructive ureterohydronephrosis in children.

机构信息

Second Department of Paediatric Surgery, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.

出版信息

Pan Afr Med J. 2020 Aug 10;36:260. doi: 10.11604/pamj.2020.36.260.24828. eCollection 2020.

DOI:10.11604/pamj.2020.36.260.24828
PMID:33014256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7519787/
Abstract

Obstructive ureterohydronephrosis in childhood population is a matter of debate between paediatric surgeons and paediatricians, as far as the therapeutic protocol that should be applied. Close observation, chemoprophylaxis, endoscopic and surgical approaches are the universally used techniques that provide quality of life in the paediatric patients. Undoubtedly, "the less is more" even when we have to encounter obstructive ureterohydronephrosis in children. Herein, we present a short case series where the endoscopic management of obstructive uropathies proved to be therapeutic without any need of surgical intervention.

摘要

小儿梗阻性输尿管积水在治疗方案上,在小儿外科医生和儿科医生之间存在争议。密切观察、化学预防、内镜和手术方法是普遍使用的技术,可以为儿科患者提供生活质量。毫无疑问,即使我们必须面对儿童的梗阻性输尿管积水,“越少越好”。在此,我们提出了一个简短的病例系列,其中内镜治疗梗阻性尿路病被证明是有效的,而无需任何手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ec/7519787/8f9c58e5129d/PAMJ-36-260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ec/7519787/9cd6c20d3a89/PAMJ-36-260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ec/7519787/bf1114a9595f/PAMJ-36-260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ec/7519787/64860049bf60/PAMJ-36-260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ec/7519787/8f9c58e5129d/PAMJ-36-260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ec/7519787/9cd6c20d3a89/PAMJ-36-260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ec/7519787/bf1114a9595f/PAMJ-36-260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ec/7519787/64860049bf60/PAMJ-36-260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ec/7519787/8f9c58e5129d/PAMJ-36-260-g004.jpg

相似文献

1
Endoscopic treatment of obstructive ureterohydronephrosis in children.儿童梗阻性输尿管积水的内镜治疗。
Pan Afr Med J. 2020 Aug 10;36:260. doi: 10.11604/pamj.2020.36.260.24828. eCollection 2020.
2
[Upper obstructive uropathies in newborns and infants. Our experience over the past 11 years].[新生儿及婴儿上尿路梗阻性疾病。我们过去11年的经验]
Cir Pediatr. 1992 Jul;5(3):166-70.
3
[Management of ureteral strictures and hydronephrosis].[输尿管狭窄与肾积水的管理]
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Primary obstructive megaureter: the role of high pressure balloon dilation.原发性梗阻性巨输尿管:高压球囊扩张的作用。
J Endourol. 2014 May;28(5):517-23. doi: 10.1089/end.2013.0210. Epub 2014 Feb 14.
5
Conservative treatment of ureteropelvic junction obstruction in children with antenatal diagnosis of hydronephrosis: lessons learned after 16 years of follow-up.产前诊断为肾积水的儿童输尿管肾盂连接处梗阻的保守治疗:16年随访后的经验教训
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6
Neonatal management of unilateral hydronephrosis. Role for delayed intervention.单侧肾积水的新生儿管理。延迟干预的作用。
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Intestinal pseudo-obstruction and ureterohydronephrosis as the presenting manifestations of relapse in a lupus patient.肠道假性梗阻和输尿管肾盂积水作为狼疮患者复发的首发表现。
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[Scanning electron microscopy of resected ureters in children with ureterohydronephrosis].[小儿输尿管积水性肾盂积水患者切除输尿管的扫描电子显微镜检查]
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[The role of percutaneous pyelostomy in the emergency diagnosis and treatment of acute obstructive uropathies].经皮肾造瘘术在急性梗阻性尿路病急诊诊断与治疗中的作用
Minerva Med. 1982 Feb 18;73(6):277-84.

本文引用的文献

1
Management of Primary Obstructive Megaureter by Endoscopic High-Pressure Balloon Dilatation. IDEAL Framework Model as a New Tool for Systematic Review.内镜下高压球囊扩张治疗原发性梗阻性巨输尿管。IDEAL框架模型作为系统评价的新工具
Front Surg. 2019 Apr 16;6:20. doi: 10.3389/fsurg.2019.00020. eCollection 2019.
2
High Pressure Balloon Dilatation of Primary Obstructive Megaureter in Children: A Multicenter Study.儿童原发性梗阻性巨输尿管的高压球囊扩张术:一项多中心研究
Front Pediatr. 2018 Oct 31;6:329. doi: 10.3389/fped.2018.00329. eCollection 2018.
3
Endoscopic management of primary obstructive megaureter in pediatrics.
小儿原发性梗阻性巨输尿管的内镜处理。
J Pediatr Urol. 2018 Oct;14(5):382-387. doi: 10.1016/j.jpurol.2018.05.027. Epub 2018 Jun 28.
4
Isolated low initial differential renal function in patients with primary non-refluxing megaureter should not be considered an indication for early surgery: A multicentric study.原发性无反流巨输尿管患者单纯低初始肾微分功能不应被视为早期手术指征:一项多中心研究。
J Pediatr Urol. 2016 Aug;12(4):231.e1-4. doi: 10.1016/j.jpurol.2016.05.025. Epub 2016 Jun 11.
5
British Association of Paediatric Urologists consensus statement on the management of the primary obstructive megaureter.英国小儿泌尿外科医师协会关于原发性梗阻性巨输尿管管理的共识声明。
J Pediatr Urol. 2014 Feb;10(1):26-33. doi: 10.1016/j.jpurol.2013.09.018. Epub 2013 Oct 16.
6
Use of high-pressure balloon dilatation of the ureterovesical junction instead of ureteral reimplantation to treat primary obstructive megaureter: is it justified?采用高压球囊扩张治疗原发性梗阻性巨输尿管,而不采用输尿管再植入术:是否合理?
J Pediatr Urol. 2013 Dec;9(6 Pt B):1229-33. doi: 10.1016/j.jpurol.2013.05.019. Epub 2013 Jun 21.
7
[Effectiveness of high pressure balloon dilatation in the treatment of postsurgical strictures of urinary tract in children].[高压球囊扩张术治疗小儿尿路术后狭窄的疗效]
Cir Pediatr. 2007 Jul;20(3):183-7.
8
Is there a place for the insertion of a JJ stent as a temporizing procedure for symptomatic partial congenital vesico-ureteric junction obstruction in infancy?对于婴儿期有症状的部分先天性膀胱输尿管连接部梗阻,置入双J支架作为一种临时治疗手段是否可行?
BJU Int. 1999 Sep;84(4):524-5. doi: 10.1046/j.1464-410x.1999.00256.x.
9
[Role of retrograde endoscopic dilatation with balloon and derivation using double pig-tail catheter as an initial treatment for vesico-ureteral junction stenosis in children].[逆行性内镜下球囊扩张及使用双猪尾导管引流作为儿童膀胱输尿管连接部狭窄初始治疗的作用]
Cir Pediatr. 1998 Jan;11(1):15-8.
10
Voiding dysfunction after bilateral extravesical ureteral reimplantation.双侧膀胱外输尿管再植术后的排尿功能障碍
J Urol. 1998 Mar;159(3):1019-21.