Wacksman J
J Urol. 1983 Jun;129(6):1198-9. doi: 10.1016/s0022-5347(17)52639-7.
Between January 1976 and December 1980, 109 children with 157 ureters with reflux were seen in consultation. Of these ureters 52 were operated upon using the Cohen cross-trigonal technique, while 105 were followed conservatively. The operative procedure is a complete intravesical ureteral mobilization followed by the creation of a submucosal tunnel across the base of the bladder. Followup studies, including an excretory urogram and voiding cystourethrogram, showed minimal hydronephrosis in 1 ureter and persistent grade I reflux in 1 ureter. Evaluation of these initial results indicates that the Cohen cross-trigonal ureteroneocystotomy is a safe and effective antireflux procedure.
1976年1月至1980年12月期间，共会诊了109例患有157条反流输尿管的儿童。其中52条输尿管采用科恩跨三角技术进行了手术，105条输尿管进行了保守观察。手术步骤为完全游离膀胱内输尿管，然后在膀胱底部创建一条黏膜下隧道。随访研究，包括排泄性尿路造影和排尿性膀胱尿道造影，结果显示1条输尿管有轻微肾积水，1条输尿管持续存在I级反流。对这些初步结果的评估表明，科恩跨三角输尿管膀胱吻合术是一种安全有效的抗反流手术。
