It is emphasized to reserve the ill kidney as much as possible in the treatment for congenital hydronephrosis, especially the bilateral case. But there seems to be no applicable standard for evaluating the recovery of the resldual function of the kidney. A study of 30 cases by electromicroscopy and photomicroscopy demonstrates that if the thickness of kidney parenchyma is less than 2mm, its structure has disappeared microscopically and its functions has completely lost, the sick kidney will be of little value, so as to be preserved. I his may be taken as a standard, according to which, 23 sick kidneys in 19 cases have been ureated thus since 1985.3 removed and 20preserxed. This method seems to have achievca good results.%治疗小儿肾积水,近年多强调尽可能保留患肾,特别是双侧者.但术中如何判断患肾功能可否恢复,尚缺乏客观指标.我们通过30例光镜和电镜观察,结果提供了患肾是否存在肾功能的组织学依据,对指导临床有重要意义.
展开▼
