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目的 探讨小儿重复肾并积水的诊断及治疗。方法 2 8例小儿重复肾并积水中,2 6例为单纯重复肾积水,1例为重复肾及下肾积水,1例为下肾积水,2 7例行重复肾重复输尿管切除术,1例行下肾离断性肾盂输尿管成形术。结果 所有病例术后恢复良好。结论 重复肾积水多由输尿管囊肿所致,下肾积水术前要了解是输尿管反流还是梗阻,才能决定手术,不要轻易切除下肾。
Objective To investigate the diagnosis and treatment of children with recurrent renal and hydronephrosis. Methods Twenty-eight children with recurrent renal hydrops, 26 cases with simple repeat hydronephrosis, 1 case with repeated renal and hydronephrosis, 1 case with lower hydronephrosis, 27 cases with repeated renal ureteral resection One case underwent renal pelvic ureteroplasty. Results All cases recovered well after operation. Conclusions Repeated hydronephrosis caused by the ureterocele, lower hydronephrosis before surgery to understand the ureter reflux or obstruction in order to determine the surgery, not easy to remove the lower kidney.