영아의 신우 성형술

Abstract

The widespread use of prenatal ultrasonography has resulted in a dramatic increase in the number of hydronephrosis. Timing. safety and benefits of performing pyeloplasty in infancy currently are being questioned. to evaluate the effect of age on the pyeloplasty. the results of 9 pyeloplasties done during infancy ( including 4 pyeloplasties in neonate) were compared with those of 11 pyeloplasties in older age group. The surgical results in two groups were equally good, with all of cases having an improved or stable IVP or ultrasonogram taken 6 months postoperatively. Complications were few and were more common in the older age group. in which 5 cases required a secondary procedure. In conclusion, pyeloplasty during infancy was as safe and successful as that of older age group. Key word : UPJ obstruction, Pyeloplasty, Infant

1987년 7월부터 1991년 4월까지 신우요관이 행부 폐색으로 진단받은 전체 18례 23신을 2세를 기준하여 두 군으로 나누어 수술성공율 및 안정성울 비교한 결과 연령이 신우성형술의 결과에 영향을 미치지 않았고 양 군에서 동일하게 수술결과가 좋았으며 1세 이후군에서 더 빈번하게 이차적인 처치를 필요로 했다.