Diamond D A, Parulkar B G
Department of Urology, Children's Hospital, Boston, Massachusetts, USA.
J Urol. 1998 Sep;160(3 Pt 2):998-1000; discussion 1038.
We evaluated a new simplified technique for secondary surgical correction of persistent reflux in a reimplanted dilated ureter.
Four patients a median of 3 years old with recurrent vesicoureteral reflux after initial reimplantation of ureters greater than 9 mm. in diameter underwent in situ excisional ureteral tailoring.
Followup ranged from 15 to 27 months (mean 22). Within 3 months postoperatively ultrasound confirmed no ureteral obstruction, and at 3 to 6 months voiding cystourethrography revealed no vesicoureteral reflux in any case.
Our study highlights the surgical details and safety of this technique for preserving the vascularity of the reconstructed ureter and avoiding injury to the contralateral ureter.
我们评估了一种新的简化技术，用于对再植扩张输尿管中持续反流进行二次手术矫正。
4例平均年龄3岁的患者，在初次再植直径大于9毫米的输尿管后出现复发性膀胱输尿管反流，接受了原位切除输尿管整形术。
随访时间为15至27个月（平均22个月）。术后3个月内超声证实无输尿管梗阻，3至6个月时排尿性膀胱尿道造影显示所有病例均无膀胱输尿管反流。
我们的研究强调了该技术在保留重建输尿管血供及避免损伤对侧输尿管方面的手术细节和安全性。
