Lu Qiang,Ma Hong,Dong Shuquan,et al.Evaluation of clinical diagnosis and treatment of renal duplication in 56 children[J].Journal of Clinical Pediatric Surgery,,18():424-428.[doi:10.3969/j.issn.1671-6353.2019.05.017]
Evaluation of clinical diagnosis and treatment of renal duplication in 56 children
- Keywords:
- Kidey/AB; Kidey/SU; Diagnosis; Urologic Surgical Procedures; Treatment Outcome
- CLC:
- R726.9;R692.1+1
- Abstract:
- Objective To investigate furtherly clinical standard diagnosis and treatment of renal duplication in children.Methods The clinical data of 56 cases of childrens,renal duplication were retrospectively analyzed in our hospital in the past more than 10 years. Their clinical manifestation,classification,diagnosis and treatment were summarized and analyzedResults Among of them,11 cases of renal duplication without hydronephrosis and normal IVU imaging were observed following-up.To resect renal duplication and its,ureter in 35 cases with non-function renal duplication by no IVU imaging and SPECT detecting GFR(glomerular filtration rate).The 3 cases of renal duplication with ureteral duplication dilatation (Diameter larger than 4.0 cm) have done anastomosis between duplex kidney and lower renal pelvis.And another 5 cases of renal duplication with ureteral duplication dilatation (less than 4.0 cm in diameter) with end-stage cyst of ureter (without vesicoureteral reflux) have done ureteral cyst puncture and 2 cases without end-stage cyst of ureter have done the replantation between ureteral duplication and bladder.All patients were followed up from 6 months to 7 years with average following-up 5 years.The clinical symptoms of result cases have disappeared after operation except for 1 patient with urinary incontinence due to the operration of sacro-meningocele with neurogenic bladder.After the cases of having done ureteral cyst puncture or the replantation between ureteral duplication and bladder don’t have vesicoureteral reflux.Conclusion To be present all sort of clinical manifestations of renal duplication in children.It is a helpful to diagnosis renal duplication by B-ultrasound、IVU、SPECT and urinary MRU、VCUG and Retrograde pyelography.Individual Treatment of renal duplication should be executived on based function of renal duplication and ureteral ectopic openingl.
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Memo
收稿日期:2018-10-01。
基金项目:贵州省卫生与计划生育委员会项目（gzljk2013-1-004）
通讯作者:马洪,Email:mahong9195@163.com