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[使用腰大肌膀胱固定术进行输尿管再植术。附42例报告]

[Ureteral reimplantation using the psoas bladder hitch. Apropos of 42 cases].

作者信息

Cendron J, Melin Y

出版信息

Chir Pediatr. 1987;28(1):43-7.

PMID:3607988
Abstract

42 cases of ureterocystoneostomy with psoas hitch were performed: 22 boys, 20 girls. The majority of the cases were done between ages 4 and 6. Initially 8 cases presented with reflux, 9 with megaureter and reflux, 20 with megaureter without reflux, 5 cases of ureterocele with duplication. 2 cases were done as a primary procedure, 4 cases as a part of undiversion, 36 after failure of a reimplantation either for reflux (13) or for stenosis (23). The technique is described: four cases were done bilaterally. Another procedure accompanied the psoas hitch: 20 ureteral modelage, 3 transuretero-ureterostomies. Follow up varied from 1 to 13 years with good results in 27 cases, fair results in 10 and poor results in 5.

摘要

共进行了42例腰大肌悬吊输尿管膀胱吻合术:男22例,女20例。大多数病例年龄在4至6岁之间。最初,8例有反流,9例有巨输尿管合并反流,20例有巨输尿管但无反流,5例重复输尿管囊肿。2例作为初次手术,4例作为去转流术的一部分,36例在反流(13例)或狭窄(23例)导致再植失败后进行。描述了该技术:4例为双侧手术。腰大肌悬吊术还伴有另一种手术:20例输尿管塑形,3例输尿管输尿管吻合术。随访时间为1至13年,27例效果良好,10例效果尚可,5例效果不佳。

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