Boeminghaus F, Hoops G
Urologe A. 1977 Sep;16(5):294-7.
Sixty-seven children with congenital megaureter were treated by surgically. Nephroureterectomy was performed in 12 cases (17.9%). Fifty-five children were selected for surgical correction. In 23 patients, a bilateral ureteroneocystostomy with submucosal tunneling was performed. These latter patients were examined in the postoperative period for the following criteria: unobstructed flow urine, improved or stable renal function and absence of infection, 69.23% of these patients met these criteria. Because the primary goal is conservation of the kidney the indication for surgical correction is quite liberal. Thirty percent were failures partially due to previous surgery. The need for detailed preoperative study and long-term follow-up is stressed.
67例先天性巨输尿管患儿接受了手术治疗。12例（17.9%）行肾输尿管切除术。55例患儿接受手术矫正。23例患者行双侧输尿管膀胱再植术并黏膜下隧道化。对这些患者在术后根据以下标准进行检查：尿液引流通畅、肾功能改善或稳定且无感染，69.23%的患者符合这些标准。由于主要目标是保留肾脏，手术矫正的指征相当宽松。30%的矫正失败部分归因于既往手术。强调了术前详细检查和长期随访的必要性。
