Gearhart J P, Woolfenden K A
J Urol. 1982 Mar;127(3):505-7. doi: 10.1016/s0022-5347(17)53887-2.
The vesico-psoas hitch usually has been advocated for the management of lower ureteral injuries or failed ureteroneocystostomies when there is inadequate ureteral length. Since 1966 we have used this technique in 36 children with obstructed megaureters. There has been no postoperative obstruction and reflux has been prevented in all but 1 case. The vesico-psoas hitch has proved to be an important adjunct in the repair of the obstructed megaureter, since it allows the construction of a long intravesical ureter, thus avoiding reflux, and locates the new ureteral hiatus in the bladder at a fixed point so that ureteral kinking and obstruction are prevented.
当输尿管长度不足时，膀胱腰大肌悬吊术通常被推荐用于处理下段输尿管损伤或输尿管膀胱吻合术失败的情况。自1966年以来，我们已将此技术应用于36例患有梗阻性巨输尿管症的儿童。术后无一例发生梗阻，除1例之外均成功预防了反流。膀胱腰大肌悬吊术已被证明是修复梗阻性巨输尿管症的一项重要辅助手段，因为它能构建一条较长的膀胱内输尿管，从而避免反流，并将膀胱内新的输尿管裂孔定位在一个固定点，防止输尿管扭结和梗阻。
