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- W2364314519 abstract "Objective To explore the recoverability of renal morphology and function after pyeloplasty to relieve congenital ureteropelvic junction obstruction (UPJO)and analyze the associated preoperative factors potentially influencing the outcome of renal function potentially.Methods Forty-six children with UPJO were performed pyeloplasty.Each affected kidney was graded according to the grading system of the Society for Fetal Urology(SFU) on ultrasonography and 99Tcm-diethynetriaminetaacetic acid renal scan was performed to evaluate the renal function.A total of 46 children with congenital UPJO treated with dismembered pyeloplasty were retrospectively reviewed before and after surgery.The recovery of renal morphology and function was examined by analyzing the data collected.Prognostic factors affecting the outcome of the surgical operation were assessed.Results The differential renal function(DRF) of the patients with preoperative SFU grade 2 hydronephrosis was above 40%,and 6 cases(46.2%) of 13 cases with SFU grade 3 and 12 cases(54.5%) of 22 cases with SFU grade 4 were below 40% in DRF,respectively.Renal morphology after pyeloplasty improved significantly according to the SFU grading system.Only 1 case remained in grade 4.Furthermore,renal function of the affected kidney improved significantly after surgery(P=0.001).When the renal units classified based on SFU grading system preoperatively,most significant improvement in the severity of hydronephrosis was observed in patients with grade 4 hydronephoris and(or) preoperative DRF40%.There was significantly negative correlation between preoperative DRF and the pre-and post-operative renal function difference(r=-0.69,P=0.004).Conclusions Improvement in the severity of hydronephrosis in the affected kidney may be markedly in most of patients after a successful pyeloplasty especially when DRF 40% or as grade 4.SFU grading system and DRF are of practical use in the adoption of the treatment and follow-up study in congenital UPJO." @default.
- W2364314519 created "2016-06-24" @default.
- W2364314519 creator A5073556135 @default.
- W2364314519 date "2010-01-01" @default.
- W2364314519 modified "2023-09-27" @default.
- W2364314519 title "Prognosis and Curative Effect of Surgical Treatment on Ureteropelvic Junction Obstruction in Children" @default.
- W2364314519 hasPublicationYear "2010" @default.
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