Matsuo Y, Hayashi M, Ono Y, Yamanaka H
Department of Urology, Gunma University School of Medicine.
Hinyokika Kiyo. 1994 Oct;40(10):863-7.
Thirty-eight patients (61 ureters) with primary vesicoureteral reflux who underwent extravesical antireflux surgery between Jan. 1975 and March 1989 were retrospectively analyzed. The overall postoperative vesicoureteral reflux (VUR) disappeared in 81.6% (31/38) of the patients, 86.9% (53/61) of the ureters. Among patients under 8 years old, VUR disappeared in all but one ureter. The postoperative VUR the disappeared in 95.7% (22/23) of the patients, 97.2% (35/36) of the ureters. Early postoperative early complications, including macrohematuria and bladder irritation were significantly fewer than those occurring in patients treated by the intravesical method. There were no serious late complications. Under restricted indications for patients under 8 years old, extravesical antireflux surgery might be clinically useful for treatment of VUR. Through the re-evaluation of length of submucosal tunnel, surgical outcome of this procedure might be improved.
对1975年1月至1989年3月期间接受膀胱外抗反流手术的38例原发性膀胱输尿管反流患者（61条输尿管）进行回顾性分析。总体而言，术后膀胱输尿管反流（VUR）在81.6%（31/38）的患者中消失，在86.9%（53/61）的输尿管中消失。在8岁以下的患者中，除一条输尿管外，所有输尿管的VUR均消失。术后VUR在95.7%（22/23）的患者中消失，在97.2%（35/36）的输尿管中消失。术后早期并发症，包括肉眼血尿和膀胱刺激症状，明显少于采用膀胱内方法治疗的患者。没有严重的晚期并发症。在严格掌握8岁以下患者的适应证的情况下，膀胱外抗反流手术在临床上可能对治疗VUR有用。通过重新评估黏膜下隧道的长度，该手术的治疗效果可能会得到改善。
