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3岁及以下儿童膀胱输尿管反流的外科治疗

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

作者信息

Base J

出版信息

Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove Suppl. 1992;35(5):445-8.

PMID:1344696
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.

摘要

对36名年龄在2个月至34个月之间(17名男孩和19名女孩)曾接受膀胱-肾反流手术的儿童进行了评估。这种疾病最常见的分类为较高程度(IV级和V级,占45%),并且在使用更强效抗生素进行反复保守治疗时往往没有反应。男孩(27条输尿管)和女孩(31条输尿管)分别在安德森-格伦手术后进行了32次抗反流手术,在波利塔诺-利德贝特手术后进行了26次。在6条输尿管中,有必要按照亨德伦手术进行切除和塑形。术后检查时,6条抗反流安德森-格伦手术的塑形输尿管在排尿膀胱造影中显示持续存在膀胱-肾反流,随后按照波利塔诺-利德贝特手术再次进行了手术。其中,2条输尿管在输尿管与膀胱愈合部位出现了术后狭窄,通过经皮肾造瘘术暂时解决。

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1
Surgical treatment of vesico-renal reflux in children aged up to 3 years.3岁及以下儿童膀胱输尿管反流的外科治疗
Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove Suppl. 1992;35(5):445-8.
2
Surgical treatment of vesico-renal reflux in children aged up to 3 years.3岁及以下儿童膀胱输尿管反流的外科治疗。
Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove. 1992;35(5):445-8.
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Wiad Lek. 1998;51 Suppl 3:40-8.
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[Organ-preserving reconstructive operations in reflux into duplicated ureters in children].
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The Politano-Leadbetter antireflux plasty. Investigation of complications in 245 children.波利塔诺-利德贝特抗反流成形术。对245名儿童并发症的调查。
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