小儿先天性肾积水的临床病例分析(1)
【摘要】 目的 探讨小儿先天性肾积水的诊疗方案。方法 对513例肾积水患儿的临床病例资料进行回顾性总结。结果 513例小儿肾积水病例中103例收治住院，其中83例(16.2%)手术治疗，其余430例(83.8%)均予以定期随访，保守治疗。结论 动态观察肾积水进展情况，结合多项影像学指标和临床表现，综合分析以决定是否手术治疗。肾动态显像及GFR测定不能绝对反映肾功能。肾切除术的指征仍存在争议，需谨慎对待。【关键词】 肾积水； 梗阻； 治疗
Clinical analysis on congenital hydronephrosis in children CAO Xu，ZHOU Yun，GU Xin，YAN Xiang-ming，ZHANG Ting，FU Ming-cui.Affiliated Childrens Hospital of Soochow University，Suzhou 215005，China
【Abstract】 Objective To approach the clinical diagnosis and management for congenital hydronephrosis in children.Methods The clinical data of 513 children with congenital hydronephrosis were collected and analyzed.Results Of 513 children with congenital hydronephrosis, 83 children(16.2%)underwent surgical intervention. Except the children for surgical intervention, there were 430(83.8%)were under regular follow-up and watchful waiting.Conclusion Regular follow-up observation of hydronephrosis progression、multitude imaging examinations and clinical manifestation are all significant to determine whether surgical intervention or not. ECT could not reflect differential renal function absolutely. The indication of nephrectomy is still under argument, so that we should handle it carefully. ......
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