Pediatric Pyeloplasty in the Poor Function Kidneys: Does Surgical Success Guarantee Improvement in Renal Function? Single-Center Experience and Review of Literature.

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

Urology Journal Pub Date : 2024-02-28 DOI:10.22037/uj.v20i.7768

Farzaneh Sharifiaghdas, Jalal Amini, Behzad Narouie, Hamidreza Rouientan, Mohadese Ahmadzade, Mohammad Aref Emami

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引用次数: 0

Abstract

Purpose: To investigate the effect of pyeloplasty in pediatric patients with poor function kidneys, focusing on the split renal function (SRF) and anteroposterior diameter (APD) of the renal pelvis.

Materials and methods: A retrospective study included 47 pediatric patients with ureteropelvic junction obstruction (UPJO) who underwent open pyeloplasty with SRF< 20%. All patients were recruited from the Labbafinejad University Hospital center from April 2014 to October 2020. The results of preoperative ultrasonography and Diethylenetriamine pentaacetate (DTPA) scan compared with the results of the ultrasonography and DTPA scan 6 months and one year after surgery. Finally, Wilcoxon signed-rank test was used to test differences the SPSS (version 25) software statistical computer package.

Results: The mean age of participants was 1.5 years. There were 34 cases with SRF between 10% and 20%, and 13 cases with SRF < 10%. The findings showed that pyeloplasty for UPJO leads to a significant improvement in renal function in poorly functioning renal units with 10% ≤ SRF < 20%. Although improvement in renal function occurred in the group with SRF of less than 10%, it was not statistically significant. The APD in both groups was statistically significantly improved. No correlation between genders and outcomes was found.

Conclusion: Poorly functioning renal unit (SRF < 20%) can show functional improvement after the pyeloplasty.

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儿童肾盂成形术治疗肾功能不佳的肾脏:手术成功能保证肾功能改善吗?单中心经验与文献回顾。

目的:探讨肾盂成形术治疗小儿肾功能不佳患者的效果，重点关注肾功能分裂(SRF)和肾盂前后径(APD)。材料和方法:一项回顾性研究包括47例儿童肾盂输尿管连接处梗阻(UPJO)患者，他们接受了开窗肾盂成形术，SRF< 20%。所有患者均于2014年4月至2020年10月从拉巴菲内贾德大学医院中心招募。术前超声及五乙酸二乙三胺(DTPA)扫描结果与术后6个月及1年超声及DTPA扫描结果比较。最后，采用SPSS (version 25)统计计算机软件包采用Wilcoxon sign -rank检验进行差异检验。结果:参与者平均年龄为1.5岁。SRF在10% ~ 20%之间的有34例，SRF在10% ~ 20%之间的有13例。结论:肾盂成形术后功能不良的肾单元(SRF < 20%)可出现功能改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urology Journal UROLOGY & NEPHROLOGY-

CiteScore

2.60

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： As the official journal of the Urology and Nephrology Research Center (UNRC) and the Iranian Urological Association (IUA), Urology Journal is a comprehensive digest of useful information on modern urology. Emphasis is on practical information that reflects the latest diagnostic and treatment techniques. Our objectives are to provide an exceptional source of current and clinically relevant research in the discipline of urology, to reflect the scientific work and progress of our colleagues, and to present the articles in a logical, timely, and concise format that meets the diverse needs of today’s urologist. Urology Journal publishes manuscripts on urology and kidney transplantation, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. Accordingly, original articles, case reports, and letters to editor are encouraged.