| 소아의 절단식 신우성형술에 관한 고찰 |
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| Follow Up of the Results of Dismembered Pyeloplaty in Children |
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Young-Joo Kim, Jung-Sik Huh, Sung-Dea Kim, Kyung Kgi Park |
Correspondence:
Young-Joo Kim,
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| Abstract |
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We evaluated the outcome of dismembered pyeloplasty due to ureteropelvic junction (UPJ) obstruction based on
differentiations between pre-operative findings and post-operative findings in children. Medical records of 72 children
(boy:girl=58:14) with a urographically proven, clinically significant, UPJ obstruction, who underwent 72 dismembered
pyeloplasties were retrospectively reviewed. All patients were followed up for 47.6±18.3 months. An intravenous pyelography,
99mTc-DTPA and 99mTc-DMSA renal scan were performed for the majority of paients, pre-operatively and 3 months after
operation. The major etiology of the patients was periureteral fibrosis (40.3%). In postoperative results, 'Good' result was 46
(63.9%), 'Fair' 16 (22.2%). In the IVP, pre-/postoperative grade of hydronephrosis was no significant differentiation. In
ultrasonography, pre-/postoperative grade of hydronephrosis was too. In 99mTc-DMSA renal scan, pre-/postoperative the
mean total function was significant differentiation. The success rate of dismembered pyeloplasy was high (86.1%) There was not
clear relationship between the success of operation and the parameters. More study is needed with numerous patients and long
term follow up. |
| Key Words:
Ureter, Obstruction, Children |
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