逆行肾盂内切开术治疗小儿肾盂输尿管连接部梗阻
Pediatric ureteropelvic junction obstruction treated with retrograde endopyelotomy.
作者信息
Bolton D M, Bogaert G A, Mevorach R A, Kogan B A, Stoller M L
机构信息
Department of Urology, University of California School of Medicine, San Francisco.
出版信息
Urology. 1994 Oct;44(4):609-13. doi: 10.1016/s0090-4295(94)80073-1.
OBJECTIVES
To determine the feasibility of retrograde endopyelotomy in the management of pediatric ureteropelvic junction (UPJ) obstruction.
METHODS
We treated 2 boys aged 4 and 6 years with the Acucise endopyelotomy device for symptomatic ureteropelvic junction obstruction. The Acucise device was placed over a Lunderquist guide wire with fluoroscopic guidance only and routine Double J catheters were left in situ for 6 weeks after the procedure. The morbidity of the treatment and the short-term outcome were assessed.
RESULTS
There were no acute complications and short-term follow-up results were satisfactory as determined by intravenous urography and diuretic renography.
CONCLUSIONS
Ureteropelvic junction obstruction in children may be treated by retrograde endopyelotomy with the Acucise device. The principal potential advantage of this procedure is reduced morbidity. Our findings suggest that further evaluation is warranted.
目的
确定逆行肾盂内切开术治疗小儿输尿管肾盂连接部（UPJ）梗阻的可行性。
方法
我们使用Acucise肾盂内切开术器械治疗了2名分别为4岁和6岁的有症状输尿管肾盂连接部梗阻男孩。Acucise器械仅在荧光镜引导下置于Lunderquist导丝上，术后常规留置双J导管6周。评估治疗的发病率和短期结果。
结果
无急性并发症，静脉肾盂造影和利尿肾图显示短期随访结果满意。
结论
小儿输尿管肾盂连接部梗阻可用Acucise器械行逆行肾盂内切开术治疗。该手术的主要潜在优势是发病率降低。我们的研究结果表明有必要进行进一步评估。
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