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小儿盆腔异位肾合并UPJO的腹腔镜肾盂成形术——病例报告

Pediatric laparoscopic pyeloplasty of pelvic ectopic kidney with UPJO - A case report.

作者信息

Ergashev Kobiljon, Chung Jae Min, Lee Sang Don

机构信息

Department of Urology, Pusan National University Yangsan Hospital, Yangsan, South Korea.

Department of Urology, Pusan National University School of Medicine, Yangsan, South Korea.

出版信息

Urol Case Rep. 2020 Nov 23;34:101507. doi: 10.1016/j.eucr.2020.101507. eCollection 2021 Jan.

DOI:10.1016/j.eucr.2020.101507
PMID:33294381
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7701345/
Abstract

Prevalence of pelvic ectopic kidney with obstruction is not common. Associated anomalies may produce technical difficulties and surgical challenges in treatment. Diagnostic tools such as USG KUB, renal scintigraphic studies (DMSA, DTPA), MRI, and preoperative RGP are very informative examinations to properly decide the timing of the operation and method of it. The patient was under close surveillance from the detection of antenatal hydronephrosis until the development of UPJ obstruction. Herein, we report the case of a patient with this anomaly who successfully underwent laparoscopic reconstruction.

摘要

盆腔异位肾伴梗阻的患病率并不常见。相关畸形可能在治疗中产生技术难题和手术挑战。诸如超声肾脏输尿管膀胱造影（USG KUB）、肾脏闪烁扫描研究（二巯基丁二酸，二乙三胺五乙酸）、磁共振成像（MRI）以及术前逆行肾盂造影（RGP）等诊断工具，对于恰当确定手术时机和手术方式是非常有价值的检查。该患者自产前肾积水被发现后便受到密切监测，直至出现肾盂输尿管连接部梗阻。在此，我们报告一例患有这种畸形的患者成功接受腹腔镜重建手术的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b7/7701345/da3663999d22/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b7/7701345/d6f5f106d85a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b7/7701345/da3663999d22/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b7/7701345/d6f5f106d85a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b7/7701345/da3663999d22/gr2.jpg

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本文引用的文献

1
Laparoscopic treatment of ureteropelvic junction obstruction in five pediatric cases of pelvic kidneys.腹腔镜治疗五例盆腔肾患儿的肾盂输尿管连接部梗阻
J Pediatr Urol. 2015 Dec;11(6):353.e1-5. doi: 10.1016/j.jpurol.2015.04.042. Epub 2015 Jul 17.
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High prevalence of ectopic kidney in Coast Province, Kenya.
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Hydronephrosis in renal ectopia: incidence, etiology and significance.异位肾中的肾积水：发病率、病因及意义。
J Urol. 1994 Jun;151(6):1660-1. doi: 10.1016/s0022-5347(17)35338-7.
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Ureteropelvic junction obstruction in children with renal ectopy.肾异位患儿的肾盂输尿管连接部梗阻
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