Belloli G
Divisione di Chirurgia Pediatrica, Ospedale Regionale di Vicenza, Italia.
Pediatr Med Chir. 1993 Nov-Dec;15(6):545-54.
Urinary tract malformations are common malformations. Surgical correction is very often required to normalize the urinary tract and to prevent renal function deterioration or to ameliorate a compromised renal function. The results of the surgical management have had a considerable improvement in the last decades. Three mechanisms worked at this regard: 1) the possibility of antenatal ultrasound diagnosis; 2) a better knowledge of the natural postnatal evolution; 3) the long-term results of the surgical treatment. Referring to literature's data and especially to a wide personal experience, the Author outlines the correct indications for surgery and the most effective surgical procedures in the management of the most important urinary tract malformations.
泌尿系统畸形是常见的畸形。通常需要进行手术矫正以使泌尿系统正常化,并防止肾功能恶化或改善受损的肾功能。在过去几十年中,手术治疗的结果有了显著改善。在这方面有三个因素起了作用:1)产前超声诊断的可能性;2)对出生后自然发展过程有了更好的了解;3)手术治疗的长期效果。参照文献资料,尤其是丰富的个人经验,作者概述了在处理最重要的泌尿系统畸形时正确的手术指征和最有效的手术方法。