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目的 :总结肾盂输尿管连接处梗阻 (PUJO)引起的小儿先天性肾积水的诊断及治疗经验。方法 :回顾性分析 2 2例由 PUJO引起的小儿先天性肾积水的临床资料。结果 :术前诊断符合率 90 .9% (2 0 /2 2 ) ,手术治愈率90 .0 % (18/2 0 )。结论 :B超为由 PU JO引起的先天性肾积水首选的诊断方法 ;电视监视 IVU为轻度由 PUJO引起的先天性肾积水的主要诊断方法 ;CT为中重度由 PU JO引起的先天性肾积水的主要诊断方法。Anderson- Hynes成形术为其首选的治疗方法
Objective: To summarize the diagnosis and treatment experience of congenital hydronephrosis in children with ureteral obstruction caused by ureteropelvic junction obstruction (PUJO). Methods: The clinical data of 22 cases of congenital hydronephrosis caused by PUJO were retrospectively analyzed. Results: The coincidence rate of preoperative diagnosis was 90.9% (20/22), and the cure rate was 90.0% (18/2). CONCLUSIONS: B-ultrasound is the preferred method of diagnosis of congenital hydronephrosis caused by PU JO. TVU IVU is the main diagnostic method of mild hydronephrosis caused by PUJO. CT is moderate to severe congenital caused by PU JO The main diagnostic method of hydronephrosis. Anderson-Hynes plasty is the treatment of choice