Siegelbaum M H, Rabinovitch H H
St. Christopher's Hospital for Children, Temple University Health Sciences Center, Philadelphia, Pennsylvania.
J Urol. 1987 Nov;138(5):1205-6. doi: 10.1016/s0022-5347(17)43550-6.
Significant (grade III/V or greater, International Reflux Study) postoperative vesicoureteral reflux was noted in 4 children who underwent technically satisfactory ureteral reimplantation. All patients had moderate to severe preoperative ureteral dilatation necessitating ureteral tapering in 3 of the 8 ureters reimplanted. Reoperation was considered in all 4 children but a conservative approach was used, with subsequent spontaneous resolution of the reflux 19 to 55 months after reimplantation. We conclude that even high grade reflux after satisfactory reimplantation can resolve spontaneously.
在4例接受了技术上满意的输尿管再植术的儿童中，发现有显著的（III/V级或更高，国际反流研究标准）术后膀胱输尿管反流。所有患者术前均有中度至重度输尿管扩张，8条再植输尿管中有3条需要进行输尿管缩窄。所有4例儿童都考虑过再次手术，但采用了保守方法，反流在再植术后19至55个月自发消退。我们得出结论，即使在满意的再植术后出现高级别反流也可自发消退。
