Zhu Tianqi*,Li Wei*,Yuan Jiyan,et al.Operative efficacies of severe hydronephrosis during neonatal period.[J].Journal of Clinical Pediatric Surgery,,17():425-428.
Operative efficacies of severe hydronephrosis during neonatal period.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 06
Page:
425-428
Column:
专题讨论
Date of publication:
2018-06-28
- Keywords:
- Hydronephrosis; Renal Insufficiency; Surgical Procedures; Operative; Intervention Studies; Infant; Newborn
- Document code:
- A
- Abstract:
- ObjectiveTo explore the feasibility and efficacy of neonatal operation for severe hydronephrosis through assessing the recovery of kidney morphology and function.MethodsThis retrospective study recruited neonates with severe hydronephrosis from January 2013 to January 2015.ResultsFourteen patients underwent singlestage AndersonHynes dismembering pyeloplasty.And 12 of them were followed up for an average period of 19 (6-24) months by ultrasonic and SPECT examinations.The thickness (cm) of renal parenchyma increased postoperatively than that preoperatively ［(0.7±0.12) vs.(0.3±0.04)(t=2.522,P=0.024)］,anteroposterior diameter (APD) decreased postoperatively than that preoperatively ［(2.2±0.32) vs.(4.5±0.64) (t=3.109,P=0.027)］,glomerular filtration rate (ml/min) increased postoperatively than that preoperatively ［(45.8±6.85) vs.(23.3±3.04) (t=2.017,P=0.048)］ and kidney function returned almost to normal.ConclusionHydronephrotic is both safe and feasible.And it can relieve intrarenal pressure of affected kidney by surgery early so as to recover both kidney morphology or kidney function.
Last Update:
2018-06-26