Friedrich U, Gottschalk E, Walch R, Genssler W
Zentralbl Chir. 1985;110(16):1006-14.
Surgical methods for repairing the bilateral vesico-ureteral reflux have to be adapted to the pathomorphological and pathodynamic variety of refluxing ureters. Ureteroureterostomy can be performed in the cranial section of the ureter in order to check the local situation of the kidney and its macroscopic structure. But the distal localisation of the uretero-ureteral anastomosis proves to be favourable too. The operation according to Politano-Leadbetter is the method of choice to correct the reflux. It is only in therapy-resistent pyuria with decompensation of the kidneys that temporary supravesical urine-derivation has turned out to be an advantage because the possibility of organ-conservation by surgery later is still preserved.
修复双侧膀胱输尿管反流的手术方法必须适应反流输尿管的病理形态学和病理动力学变化。输尿管输尿管吻合术可在输尿管的上段进行，以检查肾脏的局部情况及其宏观结构。但输尿管输尿管吻合术的远端定位也被证明是有利的。根据波利塔诺-利德贝特法进行的手术是纠正反流的首选方法。只有在治疗抵抗性脓尿伴肾脏失代偿的情况下，暂时的膀胱上尿液引流才被证明是一种优势，因为后期仍保留通过手术保留器官的可能性。
