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肾盂输尿管连接处梗阻(ureteropelvic junction obstruction,UPJO)是儿童常见的先天性泌尿系统畸形,因尿液流出受限导致集合系统扩张。手术干预对于UPJO的治疗非常关键,但临床上对UPJO的诊断和治疗变得越来越保守。关于如何精确定义梗阻并确定UPJO最佳治疗方案仍存在争议。本综述通过回顾近年国内外相关文献,概述UPJO的临床评估及讨论手术与非手术治疗方面的争议。“,”Ureteropelvic junction obstruction (UPJO) is a common congenital malformation of urinary system in children. Surgical intervention is a vital treatment of UPJO. However, clinical diagnosis and treatment of UPJO have become more and more conservative. How to define obstruction accurately and determine the optimal treatment of UPJO remain controversial. This review summarized the clinical evaluations of UPJO and discussed the controversy between surgical and non-surgical options.