钬激光在儿童重度肾积水治疗中的应用

目的探讨钬激光治疗儿童重度肾积水的方法和疗效,提高儿童重度积水肾的保留率。方法应用超声、IVP、CT或MR、肾图等资料诊断重度肾积水和评价保存积水肾的价值,应用内镜直视下钬激光去除梗阻病灶所致重度肾积水19例。结果19例手术顺利完成,梗阻病灶100%解除;随访12个月以上,18例肾积水明显改善,1例无改善。结论儿童肾脏功能恢复能力较强,对于50%肾实质厚度大于2mm以上的重度肾积水肾脏有保留价值。钬激光治疗儿童尿路梗阻肾积水安全、有效,可以处理多种病因。

Application of Holmium laser treatment for children serious hydronephrosis

Objective To study methods and curative effect of Holmium laser treatment for children serious hydronephrosis, in orde to elevate remaining ratio of hydrops kidney. Methods Diagnosing serious hydronephrosis and evaluating hydrops kidney by utilizing B-ultrasound, IVP, CT, MRI and nephrogram data. 19 patients with serious hydronephrosis accepted operation of Holmium laser removal of obstruct focus of infection by endoscope. Results All 19 operation were successfully completed, and obstruct focus of infection were removaled. Follow up was over 12 months. 18 patients were obviously improved, and one was not improved. Conclusion Children kidneys recovery capability is powerful, hydrops kidneys whose 50 percent renal parenchyma thickness exceed 2 millimeter have reservation value. Holmium laser can treat children obstructive hydronephrosis securely and effectively and handle multitude etiopathogenisis.