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KMID : 0358319820230070946
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Korean Journal of Urology
1982 Volume.23 No. 7 p.946 ~ p.949
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Hydronephrosis due to Ureteropelvic Obstruction in Children: A Review of 18 Cases
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김영윤/Kim YY
이무상/Lee MS
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Abstract
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From January 1976 until December 1980 we treated 12 male and 6 female children between the ages of 1 month and 15 years for ureteropelvic obstruction.
Diagnosis was based on excretory urography and retrograde pyelography.
The male and female ratio was 2:1. The patient in this series were distributed from 1 month old to 15 years old.
The obstruction was on the left side in 10 cases, on the right side in 5 and bilateral in 3. Of the patients 7 presented because of an abdominal mass and 6 because of flank pain.
The pathologic lesion encountered at ureteropelvic obstruction, are intrinsic ureteropelvic obstruction in 16 aberrant blood vessel in 1 and fibrous band in 2.
Dismembered pyeloplasty was done in 10 cases, and nephrectomy in 9 cases. Preliminary nephrostomy was done in 3 cases. And secondary nephrectomy in 1 case.
Of the 10 repairs 9 were protected by nephrostomy drainage plus ureteral stent.
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