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소아에 있어서 요관신우폐쇄로 인한 수신증의 임상적 고찰

Hydronephrosis due to Ureteropelvic Obstruction in Children: A Review of 18 Cases

대한비뇨기과학회지 1982년 23권 7호 p.946 ~ 949
김영윤/Kim YY
이무상/Lee MS

Abstract


From January 1976 until December 1980 we treated 12 male and 6 female children between the ages of 1 month and 15 years for ureteropelvic obstruction.
Diagnosis was based on excretory urography and retrograde pyelography.

The male and female ratio was 2:1. The patient in this series were distributed from 1 month old to 15 years old.

The obstruction was on the left side in 10 cases, on the right side in 5 and bilateral in 3. Of the patients 7 presented because of an abdominal mass and 6 because of flank pain.

The pathologic lesion encountered at ureteropelvic obstruction, are intrinsic ureteropelvic obstruction in 16 aberrant blood vessel in 1 and fibrous band in 2.

Dismembered pyeloplasty was done in 10 cases, and nephrectomy in 9 cases. Preliminary nephrostomy was done in 3 cases. And secondary nephrectomy in 1 case.

Of the 10 repairs 9 were protected by nephrostomy drainage plus ureteral stent.

키워드

요관신우이행부협착; hydronephrosis; ureteropelvic obstruction; children
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