先天性肾盂输尿管连接处梗阻的诊断与治疗

目的：总结肾盂输尿管连接处理梗阻（PUJO）引起的小儿先天性 肾积水的诊断及治疗经验。方法：回顾性分析22例由PUJO引起的小儿先天性肾积水的临床资料。结果：术前诊断符合率90.9%(20/22)，手术治愈率90.0%(18/20)。结论：B超为由PUJO引起的先天性肾积水首选的诊断方法；电视监视IVU为轻度由PUJO 引起的先天性肾积水的主要诊断方法；CT为中重度由PUJO引起的先天性肾积水的主要诊断方法。Anderson-Hynes成形术为其首选的治疗方法。

Diagnosis and treatment of congenital ureteropelvic junction obstruction

Purpose:To sum up diagnostic and therapeutic experience of congenital hydronephrosis caused by ureteropelvic junction obstruction in the infant.Method:Clinical data of 22 cases of congenital hydronephrosis caused by ureteropelvic junction obstruction in the infants are reviewed in retrospect.Result:The accurate rate of diagnosis has been 90.9 %(20/22),the cured rate with operation has been 90%(18/20).Conclusions:B ultrasound is a usual method of congenital hydronephrosis caused by ureteropelvic junction obstruction in the infants.TV guided IVU is a major method in the mild congenital hydronephrosis caused by ureteropelvic junction obstruction in the infants,CT is a major method in the moderate and the severe congenital hydronephrosis caused by ureteropelvic juction obstruction in the infants.Anderson Hynes dismembered pyeloplasty is the first selective methods of operations.