Outcome analysis of early surgery and conservative treatment in neonates and infants with severe hydronephrosis.
J Int Med Res
; 49(11): 3000605211057866, 2021 Nov.
Article
em En
| MEDLINE
| ID: mdl-34772310
ABSTRACT
OBJECTIVE:
The treatment strategy and timing of ureteropelvic junction obstruction (UPJO) in infants remain controversial. This study aimed to compare the effect of early surgical treatment (EST) and conservative treatment (CT) on neonates and infants with UPJO and their recovery of renal function and morphology.METHODS:
Eighty neonates and infants with severe hydronephrosis were enrolled in this study. They received early pyeloureteroplasty or CT. Diethylenetriamine pentaacetate was used to assess renal function.RESULTS:
There were no significant differences in renal function or renal indices at baseline between the two groups. At 3 and 6 months of follow-up, the anteroposterior diameter of the renal pelvis and the Society of Fetal Urology grade in the EST surgery group were significantly lower compared with those at baseline. The thickness of the renal cortex was greater in the EST group than in the CT group at 3 and 6 months of follow-up. After follow-up for 6 months, renal function in the EST group was significantly better than that in the CT group.CONCLUSION:
EST accelerates the recovery of renal morphological and functional indices in neonates and infants with severe hydronephrosis.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ureter
/
Obstrução Ureteral
/
Hidronefrose
Tipo de estudo:
Observational_studies
Limite:
Humans
/
Infant
/
Newborn
Idioma:
En
Revista:
J Int Med Res
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
China