Bockrath J M, Maizels M, Firlit C F
J Urol. 1983 Mar;129(3):543-4.
During the last 4 years lower ipsilateral ureteroureterostomy was performed to treat vesicoureteral reflux and/or obstruction in 11 children with 13 completely duplicated systems. There was reflux only to the lower segment in 11 systems, obstruction only to the upper segment in 1 and reflux with obstruction in 1 system. The procedure is technically easier than ureteroneocystotomy, avoids cystotomy and permits a brief postoperative hospitalization. The postoperative excretory urogram demonstrated improved or stable hydronephrosis in all patients. Vesicoureteral reflux persisted in 1 system associated with a golf hole orifice. Caution should be exercised when children with reflux in duplex systems associated with a golf hole ureteral orifice are treated.
在过去4年中，对11例患有13个完全重复系统的儿童进行了低位同侧输尿管输尿管吻合术，以治疗膀胱输尿管反流和/或梗阻。11个系统仅下段存在反流，1个系统仅上段存在梗阻，1个系统存在反流并伴有梗阻。该手术在技术上比输尿管膀胱吻合术更容易，避免了膀胱切开术，并允许术后短暂住院。术后排泄性尿路造影显示所有患者的肾积水均有改善或稳定。1个与高尔夫球洞样开口相关的系统中仍存在膀胱输尿管反流。对于伴有高尔夫球洞样输尿管开口的重复系统中存在反流的儿童进行治疗时应谨慎。
