Ahmed S, Savage J P
Aust N Z J Surg. 1985 Jun;55(3):253-61. doi: 10.1111/j.1445-2197.1985.tb00083.x.
Twenty-nine out of 108 patients (26%) were under 1 year of age at the time of surgery for congenital pelviureteric obstruction. The clinical features and diagnosis, management, follow-up and results in these patients are reviewed. Clinical presentation was usually with an abdominal mass or urinary infection but an increasing number of cases were diagnosed after maternal ultrasonography had shown hydronephrosis. Ultrasonography, together with renal nuclide scan, were considered to be the most appropriate imaging modalities to define anatomy, determine function and document obstruction. Pyeloplasty was carried out successfully in 28 patients (two bilateral) and one patient had a nephrectomy. Sixteen pyeloplasties were managed by a nephrostomy (with or without a stent), the tubes usually being removed 10-12 days postoperatively. Fourteen pyeloplasties were managed by a wound drain only but one required a secondary nephrostomy although eventual recovery was satisfactory. Renal nuclide scan was found to be the most appropriate follow-up test and the overall results of surgery were satisfactory.
108例先天性肾盂输尿管梗阻患者中，29例（26%）在手术时年龄小于1岁。本文回顾了这些患者的临床特征、诊断、治疗、随访及结果。临床表现通常为腹部肿块或尿路感染，但随着产前超声检查发现肾积水后诊断出的病例越来越多。超声检查和肾核素扫描被认为是最适合用于明确解剖结构、确定功能及记录梗阻情况的影像学检查方法。28例患者（2例双侧）肾盂成形术成功，1例患者行肾切除术。16例肾盂成形术采用肾造瘘术（带或不带支架），术后10 - 12天通常拔除引流管。14例肾盂成形术仅采用伤口引流，但1例患者需要二次肾造瘘，尽管最终恢复情况令人满意。肾核素扫描被认为是最合适的随访检查，手术总体结果令人满意。
