Ross J H, Kay R, Nasrallah P
Department of Urology, Cleveland Clinic Children's Hospital, Ohio, USA.
J Urol. 1995 Sep;154(3):1171-2.
We determined the risk of contralateral reflux after unilateral ureteral reimplantation in patients with a history of resolved contralateral reflux.
We reviewed our experience with 53 children who underwent unilateral ureteral reimplantation for primary vesicoureteral reflux.
Postoperative contralateral reflux occurred in 5 of 11 children (45%) with a history of bilateral reflux that had resolved preoperatively on the contralateral side and 4 of 42 (10%) with no history of contralateral reflux.
Strong consideration should be given to performing bilateral ureteral reimplantation in children with unilateral reflux and a history of resolved contralateral reflux.
我们确定了既往有对侧反流已缓解病史的患者行单侧输尿管再植术后对侧反流的风险。
我们回顾了53例因原发性膀胱输尿管反流接受单侧输尿管再植术的儿童患者的情况。
11例术前对侧反流已缓解的双侧反流病史患儿中有5例(45%)术后出现对侧反流,42例无对侧反流病史的患儿中有4例(10%)术后出现对侧反流。
对于单侧反流且有对侧反流已缓解病史的儿童,应充分考虑行双侧输尿管再植术。