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膀胱输尿管反流的保守治疗:121例儿童回顾性研究

The conservative management of vesicoureteric reflux: a review of 121 children.

作者信息

Aladjem M, Boichis H, Hertz M, Herzfeld S, Raviv U

出版信息

Pediatrics. 1980 Jan;65(1):78-80.

PMID:7355040
Abstract

A group of 121 children with vesicoureteric reflux (VUR) grades 1 to 3 managed conservatively were followed-up for a period of six to ten years. In the majority of patients VUR grades 1 and 2 disappeared spontaneously. Prognosis was less favorable in those who were seen initially with grade 3 VUR. A statistically significant higher incidence of reflux disappearance was observed in children who were seen before 4 years of age. In the majority of patients with paraureteric-vesicle diverticulum, reflux persisted. Reflux was more likely to disappear in children with lower incidence of urinary tract infection than in those with multiple infections.

摘要

对121名1至3级膀胱输尿管反流(VUR)且采用保守治疗的儿童进行了为期6至10年的随访。大多数1级和2级VUR患者的反流自发消失。最初诊断为3级VUR的患者预后较差。4岁前就诊的儿童反流消失的发生率在统计学上显著更高。在大多数输尿管旁膀胱憩室患者中,反流持续存在。与多次感染的儿童相比,尿路感染发生率较低的儿童反流更有可能消失。

相似文献

1
The conservative management of vesicoureteric reflux: a review of 121 children.膀胱输尿管反流的保守治疗:121例儿童回顾性研究
Pediatrics. 1980 Jan;65(1):78-80.
2
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Age at diagnosis of vesicoureteric reflux after urinary infections: historical changes.尿路感染后诊断膀胱输尿管反流的年龄:历史变化
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引用本文的文献

1
Vesicoureteral Reflux in Childhood: Preventing urinary tract infections.儿童膀胱输尿管反流:预防尿路感染。
Can Fam Physician. 1992 Sep;38:2155-62.
2
Surgical management of vesicoureteral reflux in children.儿童膀胱输尿管反流的外科治疗
Int Urol Nephrol. 1983;15(4):323-6. doi: 10.1007/BF02082551.
3
Urinary tract infections in children. An update.儿童尿路感染。最新进展。
West J Med. 1992 Nov;157(5):554-61.