Influence of Prenatal Diagnosis and Immediate Surgery Intervention on the Prognosis of Congenital Hydronephrosis in Children
- VernacularTitle:产前诊断并早期手术对先天性肾积水患儿预后的影响
- Author:
wei, ZHOU
;
hong, WANG
- Publication Type:Journal Article
- Keywords:
prenatal diagnosis;
hydronephrosis;
ureteropelvic junction obstruction;
pyeloplasty;
prognosis
- From:Journal of Applied Clinical Pediatrics
2004;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of prenatal diagnosis,active follow up and immediate surgery intervention on the prognosis of congenital hydronephrosis in children.Methods The clinical data in 85 cases were analyzed retrospectively.They were divided into prenatal diagnosed group and postnatal diagnosed group.Prognostic parameters such as preoperative statuse,pathology during surgery,operation process,status before discharging and complications were collected and statistically analyzed.Results The numbers of grade 4 hydronephrosis,secondary renal calculus,opposite kidney hydronephrosis,preoperative infectioin,perinephric adhesion and postoperative complication in prenatal diagnosed group were significantly lower than those in postnatal diagnosed group(Pa0.05).Conclusions 1.Ultrasonagraphy examination and follow-up are indispensable both before and after delivery which will help doctors to diagnose the disease at early stage.2.Surgical operation on congenital hydronephrosis at early stage is reliable and will achieve the same effect with the children undergo surgical operation at older age.3.Immediate surgical operation is of great clinical significance on preventing serious complication and irreversible kidney damage.
