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요관류 혹은 이소성 요관을 동반한 완전 중복요관 환아에서의 일차적 치료: 요관신우문합술
DC Field | Value | Language |
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dc.contributor.author | 한상원 | - |
dc.date.accessioned | 2016-05-16T11:18:40Z | - |
dc.date.available | 2016-05-16T11:18:40Z | - |
dc.date.issued | 2002 | - |
dc.identifier.issn | 0494-4747 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/144267 | - |
dc.description.abstract | Purpose: A complete duplicated collecting system complicated with an ectopic ureter or ureterocele results in renal damage due to a ureteral obstruction or reflux. The clinical outcome of ureteropyelostomy in complicated complete duplicated collecting system was evaluated. Materials and Methods: 20 children received a ureteropyelostomy for either an ectopic ureter or ureterocele with a complete duplicated collecting system anomaly. The median age was 3.2 months. Of the children, 11 had ureteroceles including 7 cecoureteroceles, and 9 had ectopic ureters. The associated anomalies were 3 UPJ obstructions of the lower pole and 9 VUR. All received a ureteropyelostomy. The lower pole ureter was used as the common ureter except in 2 cases with a lower ureter in poor condition. A lower pole pyeloplasty was combined in 3 cases with UPJ obstructions of the lower pole. A distal ureteral stump was left open except in the cecoureterocele in order to prevent VUR. Their clinical courses were followed up with an ultrasonogram and 99mTc-DMSA scan. The median follow-up after surgery was 17.8 months. Results: A reduced upper pole hydronephrosis was observed in 19 patients and an improvement in the differential renal function was noted in 17 patients on the follow-up studies. All ureteroceles had either disappeared or were reduced in size. 7 patients showed an intermittent asymptomatic bacteriuria and 1 patient showed symptomatic UTI who required an ureteroneocystostomy during the follow-up. Conclusions: A ureteropyelostomy is recommended as a first-line treatment modality for patients with a complicated complete duplicated collecting system owing to the lower chance of secondary surgery, the prevention of deterioration in the bladder function and the possibility of early correction. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 667~671 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF UROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 요관류 혹은 이소성 요관을 동반한 완전 중복요관 환아에서의 일차적 치료: 요관신우문합술 | - |
dc.title.alternative | First-line Treatment Modality in Children with Complete Duplicating System Complicated with Ureterocele or Ectopic Ureter: Ureteropyelostomy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨기과학) | - |
dc.contributor.googleauthor | 최호성 | - |
dc.contributor.googleauthor | 진옥현 | - |
dc.contributor.googleauthor | 한상원 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04285 | - |
dc.relation.journalcode | J02135 | - |
dc.subject.keyword | Duplicated collecting system | - |
dc.subject.keyword | Ectopic ureter | - |
dc.subject.keyword | Ureterocele | - |
dc.subject.keyword | Ureteropyelostomy | - |
dc.contributor.alternativeName | Han, Sang Won | - |
dc.contributor.affiliatedAuthor | Han, Sang Won | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 43 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 667 | - |
dc.citation.endPage | 671 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF UROLOGY, Vol.43(8) : 667-671, 2002 | - |
dc.identifier.rimsid | 56720 | - |
dc.type.rims | ART | - |
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