【摘要】 报告我院１９８４～１９９３年间收治的小儿先天性肾积水５４例（６４只肾）。男３６例，女１８例。年龄最小３月，最大１３岁。为探讨病肾切除指征，除１例脓肾被切除外，余５３例６３只病肾均施行Ａｎｄｅｒｓｏｎ－Ｈｙｎｅｓ肾盂成形术。术后４６例５４肾获得半年至１０年的随访，结果：全部病例症状消失，肾积水明显改善，肾功能存在或恢复，毋须再次手术。本病一旦确诊即宜尽早手术，除脓肾有指征切除外，余均有希望保留。Ａｎｄｅｒｓｏｎ－Ｈｙｎｅｓ肾盂成形术可为首选术式，术后可免除肾造瘘管，但宜留置支架管以利引流和避免吻合口成角扭曲。更多还原

【Abstract】 Fifty-four cases ( 64 kidneys) of congenital hydronephrosis are reported. Their ages ranged from 3 months to 13 years, There were 36 males and 18 females.The Anderson-Hynes Pyeloplasty was performed on 53 patients (63 kidneys). One patient underwent nephrectomy because of nephrapostasis. Operations were all successful. All patients underwent the AndersonHynes pyeloplasty were followed up for 0. 5～ 10 years.Their abdominal pain and discomfort disappeared, and their hydronephrosis improved. The Anderson-Hynes pyeloplasty might be the best operation while the nephrostomy be unnecessary for this disease. The authors emphasize that operation should be performed as early as possible and a supporting-tube should be placed to prevent angulation.更多还原