URETEROPELVIC JUNCTION OBSTRUCTION - RELATION OF ETIOLOGY AND AGE AT SURGICAL REPAIR TO CLINICAL OUTCOME

被引：14

作者：

RAVIV, G

LEIBOVITCH, I

SHENFELD, O

MOR, Y

JONAS, P

GOLDWASSER, B

机构：

[1] Department of Urology, The Chaim Sheba Medical Center Tel-Hashomer, Affiliated with the Sackler School of Medicine, Tel-Aviv

来源：

UROLOGIA INTERNATIONALIS | 1994年 / 52卷 / 03期

关键词：

URETEROPELVIC JUNCTION; SURGICAL REPAIR; CLINICAL OUTCOME;

D O I：

10.1159/000282592

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Ureteropelvic junction (UPJ) obstruction is a congenital anomaly either caused by intrinsic narrowing of the upper ureter or by extrinsic pressure on the ureter caused by aberrant vessels or fibrous bands. We reviewed 121 cases of pyeloplasties performed in our department for UPJ obstruction. The cases were grouped by age and by the underlying pathology. Postoperative urographic evaluation showed that dismembered pyeloplasty was successful in 98.4% of the patients, with no significant difference between age groups. Persistence or recurrence of preoperative symptoms occurred in some patients (16.6%). Extrinsic obstruction of the ureter was associated with better postoperative clinical results and less recurrence of symptoms.

引用

页码：135 / 139

页数：5

共 16 条

[1] Rouano G.D., Coca-Pyerasa A., Tejedo-Maten A., Obstruction and normal recanalization of the ureter in the human embryo: Its relation to congenital ureter obstruction, EurUrol, 1, pp. 287-290, (1975)
[2] Stephens F.D., Ureterovascular hydronephrosis and the ‘aberrant’ renal vessel, J Urol, 128, pp. 984-987, (1982)
[3] Malek R.S., Intermittent hydronephrosis: The occult urcteropelvic obstruction, J Urol, 130, pp. 863-866, (1983)
[4] Guys J.J., Borella F., Monfort D., Ureteropelvic junction obstruction: Prenatal diagnosis and neonatal surgery in 47 cases, J Pediatr Surg, 23, pp. 156-159, (1988)
[5] Snydeer H.M., Leibowitz R.L., Colodny A.H., Et al., Ureteropelvic junction obstruction in children, Urol Clin North Am, 7, pp. 273-290, (1980)
[6] Cherrie R.J., Kaufman J.J., Pyeloplasty for ureteropelvic junction obstruction in adults: Correlation of radiographic and clinical results, J Urol, 129, pp. 711-714, (1983)
[7] Clark W.R., Malek R.S., Ureteropelvic junction obstruction. I. Observation on the classic type in adults, J Urol, 138, pp. 276-280, (1987)
[8] Savion M., Livne P.M., Savir A., Long term followup of patients after pyeloplasty for ureteropelvic junction obstruction, Isr J Med Sci, 26, pp. 144-147, (1990)
[9] King R.L., Coughlin P.W.F., Bloch E.C., Et al., The case for immediate pyeloplasty in the neonate with ureteropelvic junction obstruction, J Urol, 132, pp. 725-728, (1984)
[10] Oreilly P.H., Functional outcome of pyeloplasty for ureteropelvic junction obstruction: Prospective study in 30 consecutive cases, J Urol, 142, pp. 273-275, (1989)

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