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[儿童双侧肾脏的极部切除术]

[Polar resection in double kidneys in childhood].

作者信息

Morger M, Bürgin M, Gloor F, Koegel R, Morger R

出版信息

Z Kinderchir. 1986 Feb;41(1):27-31. doi: 10.1055/s-2008-1043302.

DOI:10.1055/s-2008-1043302
PMID:3962510
Abstract

78 cases of double kidneys without vesico-uretero-renal reflux, in which a heminephrectomy was done, were histologically investigated. The histopathological results were compared with the clinic and the urogram. It could be demonstrated that the results did not correspond in some cases. As a consequence of these discrepancies, we conclude that intravenous urography is not sufficient to indicate a primary heminephrectomy. Therefore, additional studies, such as a diethylenetriaminopentaacetate-T-99m scintigram and a preoperative kidney biopsy under sonographic control, are suggested.

摘要

对78例无膀胱输尿管肾反流且行半肾切除术的双肾病例进行了组织学研究。将组织病理学结果与临床情况及尿路造影进行了比较。结果表明,在某些病例中两者并不相符。鉴于这些差异,我们得出结论,静脉尿路造影不足以表明需要进行原发性半肾切除术。因此,建议进行其他检查,如二乙三胺五乙酸-T-99m闪烁扫描和在超声引导下进行术前肾活检。

相似文献

1
[Polar resection in double kidneys in childhood].[儿童双侧肾脏的极部切除术]
Z Kinderchir. 1986 Feb;41(1):27-31. doi: 10.1055/s-2008-1043302.
2
[Results of operative therapy of double kidney].[双侧肾脏手术治疗结果]
Urologe A. 1985 Mar;24(2):87-93.
3
[Surgical management of double kidney in children].[儿童双肾的外科治疗]
Z Urol Nephrol. 1980 Feb;73(2):79-84.
4
[Inferior heminephrectomy in children].[儿童下极肾部分切除术]
Vestn Khir Im I I Grek. 1979 Dec;123(12):80-3.
5
Laparoscopic nephrectomy for a single-system ectopic ureter draining a small, dysplastic and poorly functioning kidney in children.腹腔镜肾切除术治疗儿童单系统异位输尿管,该输尿管引流一个小的、发育不良且功能不佳的肾脏。
Int J Urol. 2007 Feb;14(2):104-7. doi: 10.1111/j.1442-2042.2007.01673.x.
6
[Heminephrectomy of kidneys with double pelvis].[双肾盂肾脏的半肾切除术]
Orv Hetil. 1970 Dec 20;111(51):3018-20 passim.
7
[Study of 100 congenital anomalies of the pyelo-ureteral junction in the child].
J Urol Nephrol (Paris). 1976 Oct-Nov;82(10-11):896-904.
8
[Surgical treatment in different variants of the duplicated kidney in children].[儿童重复肾不同变异型的外科治疗]
Urol Nefrol (Mosk). 1994 Sep-Oct(5):2-5.
9
[Status and development of the kidneys in the late periods after surgical treatment of vesico-renal reflux in children].
Sov Med. 1991(10):80-4.
10
[Management of ureteroceles with pyelo-ureteral duplication in children. Report of 64 cases].[小儿重复肾盂输尿管畸形合并输尿管囊肿的治疗。附64例报告]
Ann Urol (Paris). 1999;33(5):369-76.