Hinselmann D, Halsband H
Z Kinderchir. 1986 Jun;41(3):160-2. doi: 10.1055/s-2008-1043333.
This is a report of our experience with 474 operations for vesico-renal reflux according to the Leadbetter-Politano technique at the Department of Paediatric Surgery, Medical University of Lübeck. Diagnosis of vesico-renal reflux is mostly based on urinary tract infection or enuresis. Indication for primary surgery was low pressure reflux or anomalies and ectopies of the ureteric orifice, found on cystoscopy. Ureterocystoneostomy using a modification of the Leadbetter-Politano technique was the method of surgery used, resecting the mostly fibrous distal ureteric segment. In our patients, the relapses of reflux or ureteric stenoses were found very rarely (only 1.1% each). Freedom of complaints could be gained by surgery in 80% of the cases. According to the results in the group followed up by us, primary surgical management without long-term antibiotic treatment is indicated in patients with anomalies or ectopies of the ureteric orifices.
这是一篇关于吕贝克医科大学儿外科采用利德贝特 - 波利塔诺技术进行474例膀胱 - 肾反流手术的经验报告。膀胱 - 肾反流的诊断主要基于尿路感染或遗尿。一期手术的指征是膀胱镜检查发现的低压反流或输尿管口异常及异位。采用改良的利德贝特 - 波利塔诺技术进行输尿管膀胱再植术，切除大部分为纤维组织的输尿管远端节段。在我们的患者中，反流复发或输尿管狭窄非常罕见（各仅1.1%）。80%的病例通过手术可缓解症状。根据我们随访组的结果，输尿管口存在异常或异位的患者，无需长期抗生素治疗，可行一期手术治疗。
