Lacombe A
Department of Pediatric Surgery, Centre Hospitalier Gatien de Clocheville, Tours, France.
Eur Urol. 1990;17(4):318-20. doi: 10.1159/000464070.
In a homogeneous series of 100 children (174 ureteric units) treated endoscopically (sting) for vesicorenal reflux, 33 children (42 ureters) presented with recurrent reflux after 2 months, 1 child had ureteral dilatation. 12 children (18 ureters) underwent a secondary Cohen's antireflux plasty without particular problems. In light of these cases, we consider that the submucosal injection of polytef paste modifies neither the process nor the immediate postoperative course of antireflux plasty. Histological study of the lower end of the ureters did not show an inflammatory reaction, except the presence inside the polytef paste of multiple macrophages, the long-term result of which is still unknown.
在一组接受内镜（针刺）治疗膀胱输尿管反流的100例儿童（174个输尿管单位）中，33例儿童（42条输尿管）在2个月后出现复发性反流，1例儿童有输尿管扩张。12例儿童（18条输尿管）接受了二次科恩抗反流成形术，未出现特殊问题。鉴于这些病例，我们认为聚四氟乙烯糊剂的黏膜下注射既不会改变抗反流成形术的过程，也不会改变术后即刻的病程。输尿管下端的组织学研究未显示炎症反应，只是在聚四氟乙烯糊剂内存在多个巨噬细胞，其长期结果仍不清楚。
