摘要
目的:重复肾的治疗方式多种多样,本文通过回顾性分析22例重复肾患者的临床及解剖变异特征和治疗经验,探讨不同类型重复肾患者不同治疗方式的选择及个体化治疗的重要性,以期提高对重复肾治疗的水平.方法:回顾性分析2017年10月—2020年12月就诊于兰州大学第二医院的22例重复肾患者的临床资料,并根据手术方式分组,其中14例患者采用半肾切除术(A组),6例患者采用输尿管膀胱再植术(B组),2例患者采用肾盂输尿管成形术(C组),并总结了每例患者的临床症状、影像学检查、解剖变异特征、治疗方式及预后,分析和探讨个体化的临床特点与治疗方式及预后的关系,阐明个体化治疗的重要性.结果:平均随访时间5.5个月,1例患者失访,3例患者术后症状没有改善遂行二次手术,其余患者术后临床症状消失,手术效果良好.结论:不同的重复肾患者存在不同的解剖学特点,其治疗方式的选择需要根据特异的临床特点、解剖学特点并结合医生的经验,选择最佳的治疗方式会减少患者二次手术的发生率,并可提高治愈率.
Abstract
Objective:The treatment of renal duplication is various.By retrospective analysis of the clinical and anatomical variation characteristics and treatment of 22 cases of renal duplication,this paper discusses the selec-tion of different treatment methods for different types of renal duplication and the importance of individualized treatment,in order to improve the level of treatment for renal duplication.Methods:We retrospectively analyzed the clinical data of 22 cases of renal duplication from October 2017 to December 2020.Among them,14 patients were treated with heminephrectomy(group A),6 patients with ureterovesical reimplantation(group B),2 patients with pyeloplasty(group C).The clinical symptoms,imaging examination and anatomical characteristics of 22 ca-ses of renal duplication were retrospectively summarized to analyze and discuss the relationship between individual-ized clinical characteristics,treatment methods and prognosis and clarify the importance of individualized treat-ment.Results:The average follow-up time was 5.5 months and one patient was lost in follow-up.Three patients underwent second operation because of no improvement of postoperative symptoms.The clinical symptoms of oth-er patients disappeared.Conclusion:The treatment of renal duplication needs to combine the clinical,anatomical characteristics and the experience of doctors to choose individualized operation method to reduce the incidence of secondary surgery and improve the cure rate.
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