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How is kidney seeper treated summary?

2017-03-05 14:04

(a) the treatment aims to relieve obstruction, improve renal function, relieve symptoms, eliminate infection, and repair as normal as possible

Anatomical structure. (two) estimated the age of treatment: infants should be handled as soon as possible, the young can be observed, if progress should be timely surgery, 50 ~ 60

More than 60 years of age should be considered early surgical treatment to maintain a healthy renal function. Estimation of renal function and obstruction: A. retained at least 1/5 of normal renal tissue

To maintain the life of the minimum function, such as non essential, as far as possible not to renal drainage, in order to prevent infection. B. for asymptomatic renal infection without infection

Can be every 6 to 12 months with B ultrasound, CT and intravenous pyelography review observation, if no progress can be temporarily surgery. C. ureteropelvic junction obstruction may

Stone, so in addition to the stone at the same time, it is necessary to detect the existence of the cause of the formation of stones. If there is a narrow, should be corrected at the same time. Intra renal and

Estimation of renal pelvis surgery: difficult to treat renal pelvis. The timing of surgery: bilateral hydronephrosis in bilateral hydronephrosis and no infection, can be the first treatment

One side of the function, so that the side of the continuous function of the compensatory hypertrophy. On the side of the plastic surgery kidney under certain stimulation to restore good. about

Accompanied by infection, it is appropriate to choose a serious side of the first operation, and should be as soon as possible on the side. If only one side of the infection is better, priority should be given to the hand

In order to maximize the retention of renal function, control of infection, the other side in a stable condition after surgery. In the side of a good function of the kidney with hydronephrosis

, but still plastic surgery to restore renal function, should first consider surgery. If the contralateral kidney has been damaged and no function, it is necessary to be operated on the side of the kidney

Can recovery, stable condition before deciding whether to be amputated. (three) the way of treatment: 1 local treatment: for the lesions of the obstruction site can be used locally

Treatment of the solution, such as adhesion separation, fiber band cut off, vascular displacement and anastomosis, stone removal, etc.. For local compression has been caused by excessive ureteral

When the Department is seriously damaged, it should be removed and re anastomosis. 2 for obstruction caused by severe hydronephrosis, the need for drainage. The whole of the 3

Shape operation: must master the key points of plastic surgery: make the pelvis and ureter anastomosis at the lowest point of the pelvis. The renal pelvis and ureter anastomosis should form a funnel

Like. Repair should be removed around the fiber, adhesion, scar tissue, but do not damage blood supply. The resection of the pelvic wall excess, maintain a certain tension of renal pelvis

. Such as hydronephrosis is too large, it can be thinner renal cortex at the varus folded after fixation, in order to reduce the volume of the kidney. In order to reduce the anastomotic leakage of urine, a double pig

Tail catheter. In order to avoid the leakage of urine and hemolytic stagnation formed around the anastomosis scar fibrosis, can be placed in the negative pressure suction tube anastomosis was sufficient drainage

. A lot of the plastic surgery, but the etiology and pathology angle think to resection and anastomosis for better disease.

 

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