术后早期PI-APD在儿童UPJO手术疗效评估中的应用价值

发布时间：2018-06-17 01:33

本文选题：肾积水 + 肾盂成形术　；参考：《上海交通大学学报(医学版)》2017年06期

【摘要】：目的·分析术后3个月PI-APD对于儿童肾积水手术疗效评估的作用。方法·回顾性分析上海交通大学医学院附属新华医院2012年1月—2015年11月接受手术治疗的肾积水患儿资料。根据PI-APD值将所有患儿分为3组:PI-APD≤19%组、19%PIAPD40%组及PI-APD≥40%组。分析术后PI-APD值与患肾分肾功能(DRF)及积水程度恢复的关系。结果·入组患儿360例,平均随访时间为20个月。术后3个月PI-APD值与患肾DRF恢复程度呈正相关(r=0.631,P=0.000)。有5例患儿术后复发,其术后早期PI-APD值均19%。结论·PI-APD≥40%可以预示肾盂成形术后的良好结局;而PI-APD≤19%则提示手术后应密切随访,及早发现肾积水复发,避免患肾功能受损加重。PI-APD是一种可行、简单且有效的评估肾积水术后效果的客观指标。
[Abstract]:Objective to analyze the effect of PI-APD 3 months after operation on the evaluation of the curative effect of hydronephrosis in children. Methods: retrospective analysis of the data of children with hydronephrosis treated by surgery in the Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine from January 2012 to November 2015. According to the PI-APD value, all the children were divided into groups of PI-APD < 19%, group 19%PIAPD40% and PI-APD. More than 40% groups. The relationship between PI-APD value and renal function (DRF) and recovery of water accumulation was analyzed. Results the average follow-up time of 360 children was 20 months. The PI-APD value of the 3 months after operation was positively correlated with the degree of DRF recovery (r=0.631, P=0.000). 5 cases were recovered after operation, and the early PI-APD values were 19%. conclusion, PI-APD > 40%. It can predict the good outcome of pyeloplasty, and PI-APD < 19% suggests that the follow-up should be close after operation. It is a feasible, simple and effective measure to evaluate the effect of hydronephrosis after the early detection of the recurrence of hydronephrosis and the avoidance of impaired renal function.
【作者单位】：上海交通大学医学院附属新华医院小儿外科;
【基金】：上海市科学技术委员会项目(14411950400,14411950408) 上海市教育委员会高峰高原学科建设计划(20152216)~~
【分类号】：R726.9

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