小儿肾盂输尿管连接型肾积水的临床评估研究进展

Clinical evaluation of ureteropelvic junction hydronephrosis in children

肾盂输尿管连接处梗阻是小儿先天性肾积水最常见病因。对小儿泌尿外科医师最大的挑战是判断哪些上尿路扩张患儿需保守观察,哪些需外科干预。目前,对小儿肾盂输尿管连接型肾积水产前和产后的最佳评估策略仍未达成共识。该文就小儿肾盂输尿管连接型肾积水产前和产后的临床评估新方法进行了综述。

Ureteropelvic junction obstruction is the most common cause of congenital hydronephrosis in children.The biggest challenge for pediatric urologists is to determine which children with upper urinary tract dilatation require conservative observation and which require surgical intervention.At present, there is no consensus on the optimal prenatal and postnatal evaluation strategy of ureteropelvic junction hydronephrosis in children.This article reviewed the new clinical prenatal and postnatal evaluation methods of ureteropelvic junction hydronephrosis in children.