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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.

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。

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