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[吉尔-韦尔内反流推进术是否合理?关于22例成人和儿童病例的思考]

[Is the Gil-Vernet advancement procedure for reflux legitimate? Considerations apropos of 22 cases in adults and children].

作者信息

Doré B, Aubert J

机构信息

Service d'Urologie, CHU, Poitiers.

出版信息

Ann Urol (Paris). 1988;22(5):363-7.

PMID:3202610
Abstract

We discuss 22 patients who have undergone surgical antireflux plasty with Gil-Vernet's technique. In 19 patients, success was obtained with an average follow-ip of 12 months. In 3 cases, a persistent reflux remains and the children have not been reoperated. This technique is very simple and has a number of advantages, such as bilateral simultaneous correction of reflux, without any lower ureteral dissection. Subsequent ureteral catheterisation is easy which is important for any further ureteroscopy. Nevertheless, a longer follow-up has to be studied to be sure of the reliability, of the technique in comparison with older but safe techniques such as Cohen's advancement.

摘要

我们讨论了22例采用吉尔-韦尔内技术进行手术抗反流整形术的患者。19例患者手术成功,平均随访12个月。3例患者仍存在持续性反流,未进行再次手术。该技术非常简单,具有许多优点,如双侧同时纠正反流,无需进行任何输尿管下段解剖。后续输尿管插管很容易,这对任何进一步的输尿管镜检查都很重要。然而,必须进行更长时间的随访,以确定该技术与科恩推进术等较老但安全的技术相比的可靠性。

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