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目的:总结一侧肾发育异常伴对侧肾盂输尿管连接处梗阻致急性无尿的治疗经验。方法:5例患儿中,3例急诊行经皮肾穿刺造瘘术,2例切开肾盂造瘘。结果:术后0.5～1.0个月3例肾功能改善,择期行离断性肾盂成形术,效果良好,1例造瘘术后1个月肾功能未完全恢复而放弃治疗,另1例长期留置造瘘管导致严重上尿路感染,最终因肾功能衰竭而死亡。结论:本病一经确诊,应尽快行穿刺造瘘或切开肾盂造瘘,待肾功能改善后尽早行离断性肾盂成形术。
OBJECTIVE: To summarize the experience of treatment of acute anuria caused by obstruction of the renal side of the renal pelvis and ureter with unilateral renal dysplasia. Methods: Among 5 children, 3 cases were treated by percutaneous nephrostomy and 2 cases with pyelolithotomy. Results: The renal function was improved in 3 cases 0.5 ~ 1.0 months postoperatively. Epidural pyeloplasty was performed electively. One case of renal function did not completely recover one month after ostomy and the other one was left for long term Fistula leads to serious upper urinary tract infection, and eventually died of renal failure. Conclusion: The diagnosis of this disease, as soon as possible puncture fistula or incision pyeloplasty, renal function improvement to be performed as soon as possible after disconnection pyeloplasty.