Usefulness of transurethral incision as a primary treatment of ureterocele in children.
Usefulness of transurethral incision as a primary treatment of ureterocele in children.
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经尿道切口作为儿童输尿管菌的主要治疗方法的有用性。
DOI：
10.1155/dte.2.189
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Koyanagi T
中科院分区：
文献类型：
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作者：
Takeuchi I;Nonomura K;Kanagawa K;Yamashita T;Kakizaki H;Gotoh T;Koyanagi T
对17例(女11例，男6例，双侧4例，共21个单位)5天~11岁时诊断为输尿管膨出的患儿，采用经尿道切开治疗。尿路感染是8例患者最常见的临床表现。10例患者出现排尿障碍。其中7例为单系统膀胱内输尿管膨出，14例为异位输尿管膨出(其中12例为双系统，2例为单系统)。12个单位发生新生反流，5个单位自行消退。配对单位的5个返流均有改善，对侧输尿管的2个返流也消失。除1例括约肌输尿管膨出外，所有患者的感染控制都变得容易。~(99m)Tc-二乙烯三胺五乙酸显像显示5个系统(35.7%)肾分裂功能明显改善，11个系统(78.6%)肾发育正常。共保留13个受累单元(68.4%)，其中7个单元(6个膀胱内单元，1个异位单元)被认为是唯一必要的治疗方法。我们认为，对于所有年龄段的各种类型的输尿管膨出患儿，经尿道输尿管膨出切开术是一种非常有用的技术。
Seventeen patients (11 girls and 6 boys, with bilateral cases in 4 for a total 21 units), in whom ureterocele was diagnosed at from 5 days to 11 years old, were treated with transurethral incision as a primary treatment. Urinary tract infection was the most common presenting sign in 8 patients. A voiding disturbance was observed in 10 patients. Seven units were diagnosed as intravesical ureteroceles of a single system and 14 units as ectopic ones (12 associated with the duplex system and 2 with a single system). De novo reflux occurred in 12 units, but in 5 units resolved spontaneously. All 5 refluxes in mate units improved, and 2 refluxes in the contralateral ureter also disappeared. The control of infection became easy in all patients except for one with a sphincteric ureterocele. Split renal function on 99mTc-diethylenetriamine pentaacetic acid scintigraphy was prominently improved in 5 systems (35.7%) and normal kidney growth was obtained in 11 systems (78.6%). A total of 13 affected units (68.4%), including 7 units (6 intravesical and 1 ectopic) for which transurethral incision seemed to have been the sole necessary treatment, were saved. We believe that transurethral incision of ureteroceles is a very useful technique as a primary treatment for all types of ureteroceles in children of all ages.