Surgical treatment of vesico-renal reflux in children aged up to 3 years.

J Base
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引用次数: 0

Abstract

A total of 36 children age-ranged from 2 up to 34 mos (17 boys and 19 girls) with previous surgery for the vesico-renal reflux has been evaluated. This disorder had most commonly been classified to be of higher degree (IV. and V. 45%) and often showed no response on repeated conservative treatment with even stronger antibiotics. The boys (27 ureters) and girls (31 ureters) underwent the 32 antireflux operations after Anderson-Glenn and those 26 after Politano-Leadbetter, respectively. In 6 ureters, their resection and modelling after Hendren was necessary to be done. On post-operative check-out, the 6 post-antireflux Anderson-Glenn's plastic ureters revealed on miction cystography the persistent vesico-renal reflux re-operated subsequently in accord with Politano-Leadbetter. From them, in 2 ureters the post-operative stricture has occurred in the site of ureter-to-bladder healing that was transitorily secured with percutaneous nephrostomy.

3岁以下儿童膀胱肾反流的手术治疗。
共有36名儿童,年龄从2岁到34岁不等(17名男孩和19名女孩),既往手术膀胱肾反流已被评估。这种疾病通常被分类为较高程度(iv和V. 45%),并且经常在反复使用更强的抗生素进行保守治疗后没有反应。男生(27条输尿管)和女生(31条输尿管)分别在Anderson-Glenn术后和Politano-Leadbetter术后分别进行了32例和26例抗反流手术。6例输尿管在亨氏症后需要切除并造模。术后检查,6例抗反流后的安德森-格伦整形输尿管,行微创膀胱造影显示持续性膀胱肾反流,随后再行手术,符合Politano-Leadbetter。其中,2例输尿管术后狭窄发生在经皮肾造口术暂时固定的输尿管膀胱愈合部位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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