Yap H K, Lee B W, Joseph V T, Yeo C L
Ann Acad Med Singap. 1984 Oct;13(4):590-2.
Thirty-two cases of hydronephrosis caused by pelvi-ureteric junction obstruction, presenting to the Department of Paediatric Surgery in the last 6 years were reviewed. In both infants and older children a palpable abdominal mass was the most common mode of presentation. Anderson-Hynes pyeloplasty was performed in a total of 31 kidneys. In 4 children, whose kidneys were severely hydronephrotic and with hardly any renal parenchyma present a primary nephrectomy was performed. Of the two children who required further operation on the same kidney, a repeat pyeloplasty for persistent obstruction was required in 1 patient, the other patient underwent nephrectomy subsequent to pyeloplasty as a severe pyonephrosis had developed. Twenty-nine of the 31 kidneys were assessed postoperatively by tube nephrogram, intravenous pyelogram (IVP), or diuretic renography. Four kidneys were found to be non-functional or severely damaged.
回顾过去6年在小儿外科就诊的32例因肾盂输尿管连接处梗阻导致肾积水的病例。在婴儿和大龄儿童中，可触及的腹部肿块是最常见的表现方式。总共对31个肾脏实施了安德森-海恩斯肾盂成形术。4名儿童的肾脏严重肾积水，几乎没有肾实质，因此实施了一期肾切除术。在需要对同一肾脏进行进一步手术的2名儿童中，1例患者因持续性梗阻需要再次进行肾盂成形术，另1例患者在肾盂成形术后因发生严重肾积脓而接受了肾切除术。31个肾脏中有29个在术后通过经皮肾造瘘造影、静脉肾盂造影（IVP）或利尿肾图进行了评估。发现4个肾脏无功能或严重受损。
