Dietz H G, Schmidt A, Bader J B, Markus A
Kinderchirurgische Klinik, Dr. v. Haunerschen Kinderspital, Universität München.
Eur J Pediatr Surg. 1996 Oct;6(5):277-80. doi: 10.1055/s-2008-1066527.
From 1981 to 1988 245 children aged 2 months to 15 years underwent ureteral reimplantation in 326 renal units in our department. The VUR was primary in 180 patients (253 ureters) and 65 patients (73 ureters) showed associated pathologies. The follow-up program, including physical examination, urine sampling and isotope studies (including NMCU), was from 4 to 11 years after surgery. Intraoperative and early surgical complications were found in 29 cases, but no complications affected the late results, especially kidney function. Late complications have been observed in 15 cases, while in 10 cases reoperation because of persistent reflux (n = 4) obstruction (n = 3) and loss of kidney function (nephrectomy n = 3) was required. In 4 cases bladder stones required ESWL, and one patient developed hypertension.
1981年至1988年，我科对245名年龄在2个月至15岁的儿童的326个肾单位进行了输尿管再植术。180例患者（253条输尿管）为原发性膀胱输尿管反流（VUR），65例患者（73条输尿管）伴有相关病变。随访计划包括体格检查、尿液采样和同位素检查（包括核素排尿膀胱尿道造影[NMCU]），时间为术后4至11年。术中及早期手术并发症共29例，但无并发症影响远期结果，尤其是肾功能。观察到15例远期并发症，其中10例因持续性反流（4例）、梗阻（3例）和肾功能丧失（肾切除术3例）需要再次手术。4例膀胱结石需要进行体外冲击波碎石术（ESWL），1例患者出现高血压。
