内镜下注射聚四氟乙烯治疗儿童原发性膀胱输尿管反流。
Endoscopic injection of Teflon for correction of primary vesicoureteral reflux in children.
作者信息
Yasui T, Akita H, Sasaki S, Hayashi Y, Kohri K
机构信息
Department of Urology, Nagoya City University Medical School, Nagoya, Japan.
出版信息
Int J Urol. 1997 Jul;4(4):349-51. doi: 10.1111/j.1442-2042.1997.tb00206.x.
BACKGROUND
Treatment of vesicoureteral reflux by endoscopic injection of Teflon paste has recently demonstrated a good success rate. This report describes our experience in treating vesicoureteral reflux in children with particular reference to follow-up data.
METHODS
Between December 1993 and November 1994, endoscopic injection of Teflon paste into the submucosa was performed on 18 children (29 ureters) to correct vesicoureteral reflux.
RESULTS
After treatment, reflux was eliminated in 75.9%, decreased in 13.8%, and unchanged in 10.3% of the ureters. The success rate was lower for high grade reflux cases and ureteral orifices with abnormal shapes.
CONCLUSION
Long-term follow-up for up to 2 years demonstrated that although late recurrence may occur in a small proportion of cases, the procedure is safe, simple and effective for correcting vesicoureteral reflux.
背景
内镜注射聚四氟乙烯糊剂治疗膀胱输尿管反流近来已显示出较高的成功率。本报告描述了我们治疗儿童膀胱输尿管反流的经验，特别提及随访数据。
方法
1993年12月至1994年11月期间，对18名儿童（29条输尿管）进行内镜下向黏膜下层注射聚四氟乙烯糊剂以纠正膀胱输尿管反流。
结果
治疗后，75.9%的输尿管反流消失，13.8%的输尿管反流减轻，10.3%的输尿管反流无变化。重度反流病例及输尿管口形态异常者成功率较低。
结论
长达2年的长期随访表明，尽管一小部分病例可能会出现晚期复发，但该手术对于纠正膀胱输尿管反流是安全、简单且有效的。
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