单侧肾积水患儿治疗后肾功能变化的影响因素
Analysis of related factors of renal function changes in children with unilateral Hydronephrosis after pyeloureteroplasty
张超 1付琦 1高颖颖1
作者信息
- 1. 安阳市妇幼保健院儿外科,河南 安阳 455000
- 折叠
摘要
目的 分析单侧肾积水患儿治疗后肾功能变化的影响因素.方法 本研究中共选取了52例单侧肾积水患儿,所有患儿均来源于安阳市妇幼保健院,选取时间为2019年10月至2022年10月,所有患儿均接受肾盂输尿管成形术,且在术后进行为期3个月的随访,进行回顾性分析,按照随访时的分肾功能情况将其分组,其中分肾功能改善情况在5%以下的为对照组,而分肾功能改善情况在5%以上的为研究组.结果 分肾功能改善情况在5%以下的患儿(对照组)有15例,而分肾功能改善情况在5%以上的患儿(研究组)37例;对照组和研究组患儿年龄、肾积水程度、分肾功能分级、吻合口张力经对比,有明显差异(均P<0.05);多因素分析结果得出,肾盂输尿管成形术治疗单侧肾积水患儿后肾功能变化的危险因素在于年龄≥1岁、肾积水程度Ⅳ级、分肾功能分级4级、有吻合口张力(均P<0.05).结论 采用腹腔镜肾盂输尿管成形术治疗单侧肾积水患儿后,影响其肾功能变化的危险因素有年龄≥1岁、肾积水程度Ⅳ级、分肾功能分级4级、有吻合口张力.
Abstract
Objective To analyze the factors influencing the change of renal function in children with unilateral hydronephrosis af-ter treatment.Methods A total of 52 children with unilateral hydronephroplasty were selected in this study,all of whom were from Any-ang Maternal and Child Health Hospital from October 2019 to October 2022.All children received pyeloureteroplasty,and were fol-lowed up for 3 months after surgery for retrospective analysis.They were grouped according to their renal function at follow-up.Among them,the improvement of renal function in less than 5%was the control group,and the improvement of renal function in more than 5%was the study group.Results There were 15 cases of children with renal function improvement below 5%(control group)and 37 cases of children with renal function improvement above 5%(study group).There were significant differences in age,hydronephrosis degree,renal function classification and anastomotic tension between control group and study group(all P<0.05).The results of multi-factor analysis showed that the risk factors of renal function changes in children treated with unilateral hydronephroplasty were age≥1 year,hydronephrosis gradeⅣ,renal function grade 4,and anastomotic tension(all P<0.05).Conclusion The risk factors affecting renal func-tion in children treated with unilateral hydronephroplasty by laparoscopic pyeloureteroplasty are age≥1 year,hydronephrosis grade IV,renal function grade 4,and anastomotic tension.
关键词
肾盂输尿管成形术/单侧肾积水/肾功能/变化/影响因素Key words
pyeloureteroplasty/Unilateral Hydronephrosis/Renal function/Change/influence factor引用本文复制引用
出版年
2024
NETL
NSTL
万方数据