Currie D P
South Med J. 1976 Nov;69(11):1450-2. doi: 10.1097/00007611-197611000-00017.
Vesicoureteral reflux occurs in approximately 50% of duplex systems that undergo evaluation and most commonly involves the lower renal segment ureter. The therapeutic approach can be tailored for each case after careful evaluation of the anatomic and functional status of each renal unit. If reparative srugery is indicated and only one ureter is involved, then ureteropyelostomy or ureteroureterostomy have yielded excellent results. If more than one ureter is involved with either relfux or obstruction, then reimplantation of the paired ureters is indicated if the renal units are slavageable.
在接受评估的重复肾系统中，约50%会发生膀胱输尿管反流，最常见的是累及下肾段输尿管。在仔细评估每个肾单位的解剖和功能状态后，可针对每个病例制定治疗方案。如果需要进行修复手术且仅一条输尿管受累，那么输尿管肾盂吻合术或输尿管输尿管吻合术已取得了良好的效果。如果不止一条输尿管存在反流或梗阻，且肾单位可挽救，则需要对成对的输尿管进行再植术。
