Hydronephrosis
Conditions
Interventions
Severe Hydronephrosis B-Delayed Pyeloplasty Group:nephrostomy-pyeloplsty
Severe Hydronephrosis B - Direct Pyeloplasty Group:Pyeloplasty
Severe Hydronephrosis A - Active Surveillance Group:Active Surveillance Gr
Severe Hydronephrosis A - Direct Pyeloplasty Group:Pyeloplasty
Sponsors
The Seventh Center of PLA General Hospital
Eligibility
Sex/Gender
All
Age
No minimum to 1 Years
Inclusion criteria
Inclusion criteria: 1. Children with hydronephrosis aged = 40%; 2. Those who meet one of the following conditions enter the severe hydronephrosis group: (1) Ultrasound assessment APD >= 35mm; (2) SFU grade is grade IV (thinning of renal parenchyma); (3) The renal function assessed by dynamic renal imaging is less than 40%.
Exclusion criteria
Exclusion criteria: 1. The presence of lower urinary tract obstructive diseases such as posterior urethral valves; 2. Malformed kidneys, such as horseshoe kidney, duplication kidney, ectopic fusion kidney, etc.; 3. Bilateral hydronephrosis; 4. Hydronephrosis caused by factors such as posterior inferior vena cava and ureter; 5. Diseases such as primary vesicoureteral reflux, vesicoureteral junction obstruction, obstructive megaureter, ureteral orifice cyst; 6. Children with severe malformations of other systems; 7. Those who have received interventional treatments such as ostomy or catheter placement in other hospitals when visiting a doctor; 8. Patients with poor compliance or without follow-up conditions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Split Renal Function;renal cortical thickness;serum creatinine; | — |
Secondary
| Measure | Time frame |
|---|---|
| time of drainage;Double J tube indwelling days; | — |
Countries
China
Contacts
Public ContactZhou Huixia
The Seventh Center of PLA General Hospital
Outcome results
None listed