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[儿童抗反流手术后的尿路感染与肾脏生长]

[Urinary tract infections and renal growth after antireflux operations in children].

作者信息

Bensman A, Lasfargues G, Ricquier B, Bruézière J, Jablonski J P

出版信息

Arch Fr Pediatr. 1979 May;36(5):446-53.

PMID:496537
Abstract

An assessment has been made of renal growth and of the incidence of recurrent urinary tract infection in 116 children who had bilateral re-implantation of the ureters. Although reflux was prevented, 28% of the children continued to have infections long after the operation. The infections were mostly of the lower urinary tract whereas before the operation there was a significant incidence of acute pyelonephritis. After operation 82% of the kidneys grew normally and in 4,5% growth rate increased which is a smaller proportion than that reported in other series. In contrast 13,5% of the kidneys grew more slowly but they were usually abnormal radiologically before the operation.

摘要

对116例双侧输尿管再植术患儿的肾脏生长情况及复发性尿路感染的发生率进行了评估。尽管反流得到了预防,但28%的患儿在术后很长一段时间仍持续发生感染。感染大多发生在下尿路,而术前急性肾盂肾炎的发生率较高。术后82%的肾脏正常生长,4.5%的肾脏生长速度加快,这一比例低于其他系列报道。相比之下,13.5%的肾脏生长较慢,但它们在术前通常放射学检查异常。

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