[Results of upper urinary tract malformations correction in adults operated in childhood].

Urologiia i nefrologiia Pub Date : 1999-01-01
N A Lopatkin, A G Pugachev, I N Moskalev, Iu V Kudriavtsev, V I Kirpatovskiĭ
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引用次数: 0

Abstract

3-13-year follow-up results are presented for 83 adult patients operated in childhood for ureterohydronephrosis, hydronephrosis, vesicoureteral reflux. Positive results were obtained in adults operated in early childhood when renal and urinary compensatory mechanisms were stronger. In hydronephrosis and vesicoureteral reflux the results were better than in ureterohydronephrosis. Combined clinical, morphological and experimental investigations have revealed a direct relationship between renal, ureteral functional reserves in adult patients and age of the correcting operation in childhood, degree of intactness of the kidneys and urodynamics, regenerative ability of leiomyocytes.

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[成人上尿路畸形矫治手术在儿童期的结果]。
对83例儿童期因输尿管肾积水、肾积水、膀胱输尿管反流手术的成人患者进行了3-13年的随访。在儿童早期,肾脏和尿液代偿机制较强的情况下进行手术的成年人获得了阳性结果。肾积水和膀胱输尿管反流的治疗效果优于输尿管肾积水。结合临床、形态学和实验研究发现,成人患者肾脏、输尿管功能储备与儿童期矫正手术的年龄、肾脏和尿动力学的完整程度、平滑肌细胞的再生能力有直接关系。
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