지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 157 - 163 (7page)
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초록· 키워드
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Purpose: To evaluate changes in differential renal function (DRF), as a functional outcome, in children who underwent redo pyeloplastyfor management of failed pyeloplasty and to examine the factors that affect functional outcomes.
Materials and Methods: Between January 2002 and November 2010, a total of 18 patients who underwent redo pyeloplasty forpersistent ureteropelvic junction obstruction after failed pyeloplasty were enrolled in this study. We assessed perioperative factorsand evaluated changes in renal cortical thickness (RCT), renal function, and hydronephrosis by use of serial ultrasound and diureticrenography.
Results: The mean follow-up period was 44.83±28.86 months. After redo pyeloplasty, prevention of further functional deteriorationwas observed in only 12 of the 18 patients. After dividing the patients according to this observation, we discovered significantdifferences in both change in DRF (dDRF) and change in RCT (dRCT) (difference between before and after initial pyeloplasty)between the two groups (p<0.001). Additionally, we noted a significant positive correlation between dRCT and dDRF. All patientsshowed improvements in hydronephrosis grade and relief of symptoms compared with before redo pyeloplasty.
Conclusions: Redo pyeloplasty should be considered in cases of failed pyeloplasty to preserve renal function and obtain relieffrom symptoms. If patients show severe deterioration of DRF or a decrease in RCT after initial pyeloplasty, preservation of DRF inthese patients after redo pyeloplasty could be difficult. Therefore, redo pyeloplasty should be performed before severe deteriorationof DRF or decrease in RCT.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Salem YH / 1995 / Outcome analysis of pediatric pyeloplasty as a function of patient age, presentation and differential renal function / J Urol 154:1889~1893
Lim DJ / 1996 / Management of the failed pyeloplasty / J Urol 156(2 Pt 2):738~740
Thomas JC / 2005 / Management of the failed pyeloplasty: a contemporary review / J Urol 174:2363~2366
Anderson JC / 1949 / Retrocaval ureter; a case diagnosed pre-operatively and treated successfully by a plastic operation / Br J Urol 21:209~214
Ng CS / 2003 / Management of failed primary intervention for ureteropelvic junction obstruction: 12-year, single-center experience / Urology 61:291~296
Lim DJ / 1996 / Management of the failed pyeloplasty / J Urol 156(2 Pt 2):738~740
Thomas JC / 2005 / Management of the failed pyeloplasty: a contemporary review / J Urol 174:2363~2366
Anderson JC / 1949 / Retrocaval ureter; a case diagnosed pre-operatively and treated successfully by a plastic operation / Br J Urol 21:209~214
Ng CS / 2003 / Management of failed primary intervention for ureteropelvic junction obstruction: 12-year, single-center experience / Urology 61:291~296
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