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双侧肾盂输尿管连接处梗阻性肾积水的诊治进展
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Abstract:
肾盂输尿管连接处梗阻(ureteropelvic junction obstruction, UPJO)是儿童肾积水最常见的病因，20%~39%的患儿为双侧UPJO。Anderson-Hynes肾盂成形术是UPJO手术的标准术式，腹腔镜下双侧同期肾盂成形术也已被论证为安全可行。然而双侧UPJO的手术指征尚不明确，且双侧UPJO的诊疗意见尚未统一。目前保守治疗，分期手术，双侧同期手术的方案均有使用。现通过回顾近年国内外相关文献，综述儿童双侧UPJO的诊治进展。
Ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis in children, with bilateral UPJO occurring in 20%~39% of children. Anderson-Hynes pyeloplasty is the standard procedure for UPJO, and simultaneously bilateral pyeloplasty by laparoscopy has also been proved to be safe and feasible. However, the surgical indications of bilateral UPJO are not clear, and the di-agnosis and treatment of bilateral UPJO have not been unified. At present, conservative treatment, staged pyeloplasty, and simultaneously bilateral pyeloplasty are all used. This article reviews the progress of diagnosis and treatment of bilateral UPJO children by reviewing the relevant literature at home and abroad in recent years.
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