Wacksman J, Anderson E E, Glenn J F
J Urol. 1978 Jun;119(6):814-6. doi: 10.1016/s0022-5347(17)57640-5.
The retrospective analysis of 210 patients between 1 month and 17 years old with 314 primary vesicoureteral units with reflux was reviewed. Our results show that there was a direct correlation between the grade of reflux and the per cent of abnormal ureteral orifices. Medical management of low grade reflux produced successful results in 60 per cent of the cases. Operation was highly successful in grade I, II, and III reflux as opposed to grade IV. The distal tunnel (Glenn-Anderson) and Politano-Leadbetter procedures were equally effective in curing reflux. Postoperative urinary infection occurred equally in all grades and usually was confined to the bladder.
对210例年龄在1个月至17岁之间、共有314个原发性膀胱输尿管反流单位的患者进行了回顾性分析。我们的结果表明，反流程度与异常输尿管口的百分比之间存在直接相关性。低级别反流的药物治疗在60%的病例中取得了成功。I级、II级和III级反流的手术成功率高，而IV级则不然。远端隧道（格伦-安德森）和波利塔诺-利德贝特手术在治愈反流方面同样有效。术后尿路感染在所有级别中发生率相同，且通常局限于膀胱。
