Geiss S, Alessandrini P, Allouch G, Aubert D, Bayard M, Bondonny J M, Canarelli J P, Chavrier Y, Delmas P, Dodat H
Department of Pediatric Surgery, CHU Hautepierre, Strasbourg, France.
Eur Urol. 1990;17(4):328-9. doi: 10.1159/000464073.
17 centers answered an inquiry on the endoscopic treatment of vesicoureteral reflux. 844 children were reviewed representing 1,290 ureters treated by endoscopic injection of Teflon. The first results in cases of primary or secondary reflux showed a success rate of 82.3%. All authors report low morbidity and excellent tolerance of this technique. In view of the long-term prognosis, these results should be reanalyzed, the median follow-up presently being 1 year. The next logical step should be the development of implant material with a higher biocompatibility but the identical physical properties as Teflon.
17个中心回复了关于膀胱输尿管反流内镜治疗的询问。对844名儿童进行了回顾,共涉及1290条输尿管接受了内镜下注射聚四氟乙烯治疗。原发性或继发性反流病例的初步结果显示成功率为82.3%。所有作者均报告该技术的发病率低且耐受性良好。鉴于长期预后,这些结果应重新分析,目前的中位随访时间为1年。下一步合理的做法应该是研发一种生物相容性更高但物理性质与聚四氟乙烯相同的植入材料。