Gregoir手术治疗儿童膀胱输尿管返流及输尿管下端狭窄15例报告

• 作 者: 陆伟萍 杨国威 徐展远 刘剑刚 焦勤 夏志恬
• 机 构: 上海市儿童医院泌尿外科,上海市儿童医院泌尿外科,上海市儿童医院泌尿外科,上海市儿童医院泌尿外科,上海市儿童医院泌尿外科,上海市儿童医院泌尿外科 200040,200040,200040,200040,
• 出 处: 临床儿科杂志
• 发表日期: 1999年04期
• 关键词: 膀胱输尿管返流 Gregoir 输尿管膀胱 膀胱内感染 输尿管下段 膀胱体 内操 组织破坏 尿路感染 入口狭窄

先天性输尿管下段病变包括输尿管狭窄、返流二大类,共同的病理改变是输尿管及肾脏扩张、积水,多数伴有尿路感染而导致肾组织破坏及功能损害。Leadbetter、Cohen手术都能获得良好的效果,但是对于膀胱体积小,膀胱内感染严重的患儿在膀胱内操作都有相当的困难及限制。Gregoir手术在膀胱外进行操作,手术简便,更适用于儿童。根据我们的实践,就其手术方法、适应证、手术结果及与其它手术比较报告如下。

Congenital lower ureteral lesions, including ureteral stenosis, reflux two categories, the common pathological changes are ureteral and renal dilatation, hydrocephalus, most associated with urinary tract infection leading to renal damage and functional damage. Leadbetter, Cohen surgery can get good results, but for the small bladder, bladder infection in children with severe intrauterine operation have considerable difficulties and limitations. Gregoir surgery in the bladder operation, the operation is simple, more suitable for children. According to our practice, its surgical methods, indications, surgical results and compared with other surgery report as follows.