アブストラクト
Japanese
| Title | 先天性水腎症 (腎盂尿管移行部通過障害) |
|---|---|
| Subtitle | 総説 |
| Authors | 宋成浩, 中山哲成, 岩端威之, 福田悠一, 中野裕美, 斎藤一隆 |
| Authors (kana) | |
| Organization | 獨協医科大学埼玉医療センター 泌尿器科・小児泌尿器科 |
| Journal | 日本小児泌尿器科学会雑誌 |
| Volume | 32 |
| Number | 1 |
| Page | 32-37 |
| Year/Month | 2023 / |
| Article | 報告 |
| Publisher | 日本小児泌尿器科学会 |
| Abstract | 「要旨」腎盂尿管移行部通過障害による先天性水腎症は, 胎児超音波検査の普及と共に出生前に診断される頻度が大きく増加した. さらに海外での大規模なコホート研究の結果から先天性水腎症の自然経過が解明され, 治療アルゴリズム作成が進んだ. しかし胎児期または乳幼児期の水腎症と, 患児が中高年となった時点での高血圧症や腎機能低下の発症の関連性などについての検証は不十分である. 治療法においては, ロボット支援手術により低侵襲手術が行われる頻度が増えており, この傾向は今後も続くであろう. 乳幼児についても低侵襲手術が試みられるようになってきたが, どの治療法を選択するかの基準は未だなく術者に任されているのが現状である. 本稿では, このような治療法や長期的合併症といった未解決な問題点について概説していく. |
| Practice | 臨床医学：外科系 |
| Keywords | 先天性水腎症, 腎盂尿管移行部通過障害, congenital hydronephrosis, ureteropelvic junction obstruction |
English
| Title | Congenital hydronephrosis (ureteropelvic junction obstruction) |
|---|---|
| Subtitle | |
| Authors | Shigehiro SOH, Akinori NAKAYAMA, Toshiyuki IWAHATA, Yuichi FUKUDA, Yumi NAKANO, Kazutaka SAITO |
| Authors (kana) | |
| Organization | Dokkyo Medical University, Saitama Medical Center |
| Journal | Japanese Journal of Pediatric Urology |
| Volume | 32 |
| Number | 1 |
| Page | 32-37 |
| Year/Month | 2023 / |
| Article | Report |
| Publisher | Japanese Society of Pediatric Urology |
| Abstract | [Abstract] With the increased use of fetal ultrasonography, congenital hydronephrosis is being increasingly diagnosed. Large-scale cohort studies conducted in the USA and European countries suggest that the natural course of congenital hydronephrosis is better than previously thought, and based on these results, a hydronephrosis treatment algorithm was created. Nevertheless, long-term complications, such as hypertension and deterioration of renal function, have not been fully elucidated. In terms of treatment, robot-assisted pyeloplasty is more common than other minimally-invasive surgeries and has also been attempted in infants. However, there is no standard treatment, and the choice of modality is at the surgeon's discretion. This article aims to supplement the information regarding the long-term complications and treatment for congenital hydronephrosis. |
| Practice | Clinical surgery |
| Keywords | congenital hydronephrosis, ureteropelvic junction obstruction |
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残りの28件を表示する
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