Bruezière J
Service de Chirurgie Viscérale Pédiatrique, Hôpital d'Enfants Armand-Trousseau, Paris, France.
Ann Urol (Paris). 1995;29(4):250-4.
An uretereo-colic anastomosis in children is performed in three occasions: 1) The trans-intestinal cutaneous ureterostomy (Bricker) has a low rate of complications concerning ureterocolic anastomosis. Nevertheless, occurrence of pyelonephrites may oblige to perform an anti-reflux procedure. 2) Implantation of ureters in the intestinal segment of an augmentation colocystoplastys in unusual; when necessary, this type of implantation is safe because colon is appropriate for an antireflux procedure. 3) Ureterocolic diversion (Coffey) is quite comfortable for patients. Risks of renal failure and of adenocarcinoma are minimal thanks to an annual control. Concerning exstrophy of bladder, it seems now that risk of infertility is lower for patients with an ureterocolic diversion than those with a genito-urinary reconstruction.
1)经肠皮肤输尿管造口术(布里克氏术)在输尿管结肠吻合方面并发症发生率较低。然而,肾盂肾炎的发生可能需要进行抗反流手术。2)将输尿管植入扩大膀胱成形术的肠段并不常见;必要时,这种植入方式是安全的,因为结肠适合进行抗反流手术。3)输尿管结肠改道术(科菲氏术)对患者来说相当舒适。由于每年进行检查,肾衰竭和腺癌的风险极小。关于膀胱外翻,现在看来,接受输尿管结肠改道术的患者比接受生殖泌尿系统重建术的患者不孕风险更低。