소아 수신증의 수술적 교정에 대한 관찰
Hydronephrosis in Children: Review of Surgical Correction
소속 상세정보
장송선/Jang SS
양거영/Yang KY
KMID : 0358319840250050655
Abstract
A clinical observation was made on 12 children who showed severe hydroureteronephrosis on urography and long term follow up was performed after each etiologic reconstructive surgery. There were U. P. J. stricture(6 cases) and V-U reflux (6 cases) We observed the progressive improvement of renal function in spite of irreversible change on urography as a result of dismembered pyeloplasty (Anderson-Hynes) in U. P. J. stricture and vesicoureteroplasty (Politano Leadbetter) in V-U reflux. We thought that the consideration of reconstructive surgery than only nephrectomy for the correction of hydronephrosis in children was desirable, though there was irreversible change of the renal parenchyme on urography, because we found mostly the difference of degree of renal parenchymal destruction between the operative finding and the radiologic study.
키워드
수신증; 소아; hydronephrosis; surgery; childhood
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