资源描述：
《经尿道腔内气囊扩张治疗小儿肾盂输尿管连接部狭窄的研究.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、经尿道腔内气囊扩张治疗小儿肾盂输尿管连接部狭窄的研究【摘要】目的：探讨经尿道腔内气囊扩张治疗小儿肾盂输尿管连接部(UPJ)狭窄的临床疗效。方法：选取2012年2月-2014年6月在本院行手术治疗的小儿肾盂输尿管连接部狭窄患儿40例，分为观察组和对照组，每组20例，观察组行经尿道球囊扩张术治疗，对照组行开放性肾盂输尿管交界狭窄整形术治疗。观察两组患儿术屮出血量、手术时间、手术成功率、术后住院时间、术后并发症发生情况及术后肾积水复发情况，并分别于术前及术后测量并计算两组患者患肾的分肾肾小球滤过率。结果：观察组患儿术中
2、出血量、术后住院时间及术后并发症发生情况均明显优于对照组，比较差异有统计学意义(P0.05)；术前两组患儿患肾的分肾肾小球滤过率差异无统计学意义(P>0・05),术后1个月均明显上升，且观察组患儿上升幅度大于对照组，比较差异有统计学意义(1X0.05)。结论：经尿道腔内球囊扩张治疗小儿肾盂输尿管连接部狭窄疗效确切，具有创伤小、并发症少、住院时间短等优点，可有效解除梗阻，恢复肾功能，改善肾积水。【关键词】输尿管狭窄；儿童；球囊扩张术；双J管；肾功能[Abstract]Objective：Toevaluatethec
3、linicaleffectoftransurethralballoondilationIreatmentforthestenosisofpediatricureteropelvicjunction(UPJ)・Method：40childrenwithUPJstenosiswereselectedanddividedintotheobservationgroupandthecontrolgroup,patientsintheobservationgroupweretreatedbytransurethralball
4、oondilatationtherapy,thecontrolgroupwastreatedbyopenplasticsurgeryofUPJstenosistherapy.Thebleedingvolume,operationtime,operationsuccessrate,postoperativehospitaistay,postoperativecomplicationsandpostoperativehydronephrosisrecurrenceofthetwogroupswereobserved.
5、TherenalGFRofallthechildrenpatientswastestedandcalculatedbeforeandaftertherapy.Result：Thebleedingvolume,postoperativehospitalstayandpostoperativecomplicationsoftheobservationalgroupweresignificantlybetterthanthoseofthecontrolgroup,thedifferenceswerestatistica
6、llysignificant（P0.05）・TherewerenotstatisticallysignificantdifferencesintherenalGFRofthetwogroupsbeforeoperation（卩＞0.05）,butsignificantlyincreasedaftertherapy,andtheobservationgrouprosemorethanthecontrolgroup,thedifferenceswerestatisticallysignificant（卩〈0・05）.
7、Conclusion：Transurethralballoondilatationtreatment,forUPJstenosishastheadvantagesoflesstrauma,lesscomplications,shorterhospitaJizationtimeetc,itcaneffectivelyremovetheobstruction,recovertherenalfunction,andimprovehydronephrosis.【Keywords]Ureteralstricture；Chi
8、ldren；Bal1oondilatation；DoubleJtube；RenalfunctionFirst-authorJsaddress：BoaiHospitalofZhongshanCity,Zhongshan528403,Chinadoi：10.3969/j.issn.1674-4985.2016.07.006先天性肾盂输尿管连接部(Ureteropelvicju
