[Choice of the method of surgical treatment of hydronephrosis due to congenital stenosis of the pyeloureteral segment].
The results of treatment of 139 patients with congenital pyelo-ureteric segment (PUS) narrowing were analyzed. Plastic operation was conducted in 117 of them, PUS plasty with the flap application--in 22. The prognostic significance of sign's norm deviations of the PUS diameter and length ratio as a risk factor was studied to substantiate the numerical criterion--of operation method choice. In accordance with this prognostic significance the value of Student's criterion was calculated. When the value of ratio is no more than 0.3--the narrowed part resection with subsequent ureteropelviostomy is indicated, and when this value is 0.31 or more--the PUS plasty with the flap application.
Moskalenko
V Z
VZ
Mintser
O P
OP
Veselyĭ
S V
SV
Sopov
G A
GA
Mal'tsev
V N
VN
Kukhtin
M A
MA
D002648:Child; D003251:Constriction, Pathologic / Q000151:congenital / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000601:surgery*; D007668:Kidney / Q000002:abnormalities*; D008722:Methods; D008962:Models, Theoretical; D012307:Risk Factors; D013997:Time Factors; D014513:Ureter / Q000002:abnormalities*
Vybor sposoba operativnogo lecheniia gidronefroza obuslovlennogo vrozhdennym suzheniem lokhanochno-mochetochnikovogo segmenta.