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題名 | 嬰兒與兒童內因性輸尿管腎盂接合阻塞之臨床處置 |
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作者姓名(中文) | 許悌; 郭漢崇; 張世忠; | 書刊名 | 慈濟醫學 |
卷期 | 2:1=5 1990.01[民79.01] |
頁次 | 頁20-26 |
分類號 | 417.6253 |
關鍵詞 | 內因性; 兒童; 阻塞; 接合; 處置; 腎盂; 輸尿管; 嬰兒; 臨床; |
語文 | 中文(Chinese) |
中文摘要 | 嬰兒與兒童之輸尿管腎盂接合阻塞大部份是內因性阻塞所引起的,其臨 床表現以腹部腫塊及腹痛最為常見。在診斷上可由腎盂造影術,超音波及電腦斷 層掃瞄,有時須加上逆行性腎盂攝影或排尿膀胱尿道造影術以確定沒有其它輸尿 管阻塞或膀胱輸尿管逆流。14例腎臟之手術係以分割式腎盂輸尿管整形術加以矯 正,並使用腎臟引流及輸尿管固定管,這些對於手術後的併發症之預防及解決頗 有幫助。而經由腎引流管也可在手術後觀察新造之腎盂輸尿管接合之內壓變動及 其生理變化。(慈濟醫學1990;2:20-26) |
英文摘要 | Fourteen kidneys in 11 infants and children with intrinsic uretero-pelvic junction obstructions were experienced by the authors. The surgical corrections were based on dismemberedpyeloplasty. Nephrostomy and ureteral splinting were routinely used after operation and wereused in the management of postoperative complications. There were 3 kidneys with postoperative "delayed to open-up" and 1 kidney with fungal infection. All were treated successfullythrough nephrostomy tube conservatively. There was no case necessary for secondary operation. The values of nephrostomy and ureteral splintings were discussed and the flow chart ofpostoperative managements was created.(Tz'u-Chi Med J 1990; 2: 20-26) |
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