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儿童马蹄肾合并肾积水的诊治分析
引用本文:李宁,孙宁,黄澄如,白继武,张潍平,田军,谢向辉,李明磊,宋宏程. 儿童马蹄肾合并肾积水的诊治分析[J]. 首都医科大学学报, 2010, 31(2): 210-212
作者姓名:李宁  孙宁  黄澄如  白继武  张潍平  田军  谢向辉  李明磊  宋宏程
作者单位:首都医科大学附属北京儿童医院外科;首都医科大学附属北京儿童医院外科;首都医科大学附属北京儿童医院外科;首都医科大学附属北京儿童医院外科;首都医科大学附属北京儿童医院外科;首都医科大学附属北京儿童医院外科;首都医科大学附属北京儿童医院外科;首都医科大学附属北京儿童医院外科;首都医科大学附属北京儿童医院外科
摘    要:目的探讨儿童马蹄肾合并肾积水的临床特点及诊治方法。方法回顾分析1997~2008年首都医科大学附属北京儿童医院外科收治19例儿童马蹄肾合并肾积水的临床资料。结果19例患儿中男16例,女3例,左侧10例,右侧9例。就诊年龄8个月~16岁,平均年龄7岁。对患儿行手术治疗,手术及术后病理证实迷走血管压迫是造成此类肾脏积水的主要原因。术后6~12个月行静脉注射肾透造影术(intravenous pyelography,IVP)检查,肾积水缓解或减轻,腹痛症状消失,随访6个月至14年未见异常。结论马蹄肾合并肾积水以男童多见,且以学龄儿童为主,临床表现和其他原因引起的肾积水类似,但腹痛较剧烈,积水多不重。治疗多采用离断式肾盂成形术。

关 键 词:儿童  肾积水  马蹄肾

The Diagnosis and Treatment of Horseshoe Kidney with Hydronephrosis in Children
LI Ning,SUN Ning,HUANG Cheng-ru,BAI Ji-wu,ZHANG Wei-ping,TIAN Jun,XIE Xiang-hui,LI Ming-lei,SONG Hong-cheng. The Diagnosis and Treatment of Horseshoe Kidney with Hydronephrosis in Children[J]. Journal of Capital Medical University, 2010, 31(2): 210-212
Authors:LI Ning  SUN Ning  HUANG Cheng-ru  BAI Ji-wu  ZHANG Wei-ping  TIAN Jun  XIE Xiang-hui  LI Ming-lei  SONG Hong-cheng
Affiliation:LI Ning,SUN Ning,HUANG Cheng-ru,BAI Ji-wu,ZHANG Wei-ping,TIAN Jun,XIE Xiang-hui,LI Ming-lei,SONG Hong-cheng(Department of Surgery,Beijing Children's Hospital,Capital Medical University)
Abstract:Objective To investigate the diagnosis and treatment of horseshoe kidney with hydronephrosis in children.Methods The clinical data of 19 children with horseshoe kidney with hydronephrosis were analyzed retrospect.Results From 1997 to 2008,19 children(16 were male and 3 female,ages ranged from 8 months to 16 years,mean 7 years) with horseshoe kidney associated with hydronephrosis under went operation in our hospital.Crossed renal vessels were a main etiology.Intravenous pyelography(IVP) indicated that hydron...
Keywords:Children  hydronephrosis  horseshoe kidney  
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