Shindo K, Nomata K, Jodai A, Sanefuji K, Kanetake H, Saito Y, Hakariya H, Yura M, Matsuzaki Y
Hinyokika Kiyo. 1984 Sep;30(9):1245-9.
A 8-year-old girl was referred with both vesicoureteral reflux and repeated urinary infection since she was 30 months old. At 5 years old, she had had cystoscopy. Her excretory urogram (IVP) was almost normal; her voiding cystogram showed both vesicoureteral reflux of grade III and a maximum bladder capacity of 75 ml. At cystoscopy the ureteral orifices were in normal position of the trigone and the orifices were dilated like a golf-hole. Both ureters were reimplanted without ureter stents by the Cohen cross-trigonal advancement technique. Her IVP and a renograms postoperatively have shown normal kidney function and no urinary retention in either kidney. Her voiding cystograms have shown no vesicoureteral reflux. For 15 months after operation she has had no urinary infection. The Cohen cross-trigonal technique is a simple, safe and more applicable method than other anti-vesicoureteral reflux operations in cases of vesicoureteral reflux with contracted bladder.
一名8岁女孩自30个月大起就因膀胱输尿管反流和反复尿路感染前来就诊。5岁时，她接受了膀胱镜检查。她的排泄性尿路造影（IVP）基本正常；排尿性膀胱造影显示III级膀胱输尿管反流，最大膀胱容量为75毫升。膀胱镜检查时，输尿管口位于三角区的正常位置，开口像高尔夫球洞一样扩张。采用科恩（Cohen）三角交叉推进技术，在没有输尿管支架的情况下对双侧输尿管进行了再植术。她术后的IVP和肾图显示肾功能正常，双肾均无尿潴留。她的排尿性膀胱造影显示无膀胱输尿管反流。术后15个月来，她没有发生尿路感染。对于膀胱挛缩所致膀胱输尿管反流病例，科恩三角交叉技术是一种比其他抗膀胱输尿管反流手术更简单、安全且更适用的方法。
