Daher P
Service de Chirurgie Infantile, Hôtel-Dieu de France, Beyrouth, Liban.
J Med Liban. 1992;40(3):136-41.
40 patients who need surgical treatment for their vesico-ureteral reflux have been operated between 1989 and 1992; 26 of them have got the subureteric injection of Polytef (S.U.I.P.) and 14 the neo-uretero-cystostomy (N.U.C.) of Cohen. Even the N.U.C. of Cohen keeps the best results in our experience with only one stenosis on 28 operated ureters (3%), the S.U.I.P. is still an excellent technic because of its simplicity, low morbidity with 90% rate of success. This rate seems stable after a recoil of 19 +/- 13 months. Research must focus on finding a new substance to replace the Polytef and stop the fear of its particles migration found experimentally in animals.
1989年至1992年间,40例因膀胱输尿管反流需要手术治疗的患者接受了手术;其中26例接受了聚四氟乙烯输尿管下注射(S.U.I.P.),14例接受了科恩新输尿管膀胱吻合术(N.U.C.)。即使在我们的经验中,科恩的N.U.C.效果最佳,28条接受手术的输尿管中只有1条狭窄(3%),但S.U.I.P.仍然是一种优秀的技术,因为它操作简单,发病率低,成功率达90%。在19±13个月的反弹期后,这一成功率似乎稳定。研究必须集中于寻找一种新物质来替代聚四氟乙烯,并消除在动物实验中发现的对其颗粒迁移的担忧。