Wang Wenjie,Song Hongcheng,Xie Xianghui,et al.Experiences of diagnosing and treating ureteropelvic junction obstruction plus ipsilateral primary ureteral reflux[J].Journal of Clinical Pediatric Surgery,,18():835-838.[doi:10.3969/j.issn.1671-6353.2019.10.007]
Experiences of diagnosing and treating ureteropelvic junction obstruction plus ipsilateral primary ureteral reflux
- Keywords:
- Vesico-Ureteral Reflux; Ureteral Obstruction; Anastomosis; Surgical; Diagnosis; Therapy
- CLC:
- R726.9;R692.7;R693
- Abstract:
- Objective To explore the diagnosis,treatment and prognosis of ureteropelvic junction obstruction (UPJO) plus ipsilateral vesicoureteral reflux (VUR).Methods From May 2012 to May 2017,clinical data of 8 children were retrospectively analyzed along with a literature review. Results There were 7 boys and 1 girl with an age range of 8-84 months.And the involved side was left (n=5) and right (n=4).Three patients had no clinical symptoms while another 5 presented with urinary tract infection (UTI).The procedures included pyeloplasty (n=5),pyeloplasty after ureterovesicostomy (n=2) and ureterovesicostomy after pyeloplasty (n=1).During a follow-up period of 15 to 75 months,there was no onset of UTI and hydronephrosis became markedly alleviated.The outcomes were persistent cystoureteral reflux (n=5),symptom-free (n=1) and relief (n=1).Conclusion Clinical cases of ureteropelvic junction obstruction plus ipsilateral vesicoureteral reflux are rare.Individualized treatments should be offered on the basis of age,symptoms,grade of reflux,severity of hydronephrosis and other factors.
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Memo
收稿日期:2018-08-28。
基金项目:北京市医院管理局"登峰"人才培养计划基金资助项目（编号：DFL20151102）
通讯作者:宋宏程,Email:songhch1975@126.com