CAJ | 학술논문

目的评价改良Lich-Gregoir法治疗儿童单纯输尿管扩张并开口异位的疗效.方法 2008年4月至2013年8月,用改良Lich-Gregoir手术治疗单输尿管扩张并开口异位患儿11例,共11侧输尿管,女10例,男1例,年龄7个月～5岁,患侧输尿管开口于膀胱外,膀胱容量较正常儿童小.结果经术后4个月～30个月随访,VCUG显示11例患儿仅有2例出现轻度反流,经术后1年复查VCUG,输尿管反流消失,其余9例恢复顺利,所有病例均未出现输尿管梗阻,肾功能较前恢复,术后所有患儿未发现尿潴留、热性尿路感染及新的患肾瘢痕出现等情况.术后住院6～9 d.结论单纯输尿管开口异位所致膀胱容量小,输尿管移植难度大,术后易出现膀胱输尿管反流,改良LichGregoir法输尿管移植术操作简单,效果良好,并发症少,是治疗小儿单纯输尿管开口异位的开放手术.
목적 평개개량Lich-Gregoir법치료인동단순수뇨관확장병개구이위적료효.방법 2008년4월지2013년8월,용개량Lich-Gregoir수술치료단수뇨관확장병개구이위환인11례,공11측수뇨관,녀10례,남1례,년령7개월～5세,환측수뇨관개구우방광외,방광용량교정상인동소.결과 경술후4개월～30개월수방,VCUG현시11례환인부유2례출현경도반류,경술후1년복사VCUG,수뇨관반류소실,기여9례회복순리,소유병례균미출현수뇨관경조,신공능교전회복,술후소유환인미발현뇨저류、열성뇨로감염급신적환신반흔출현등정황.술후주원6～9 d.결론 단순수뇨관개구이위소치방광용량소,수뇨관이식난도대,술후역출현방광수뇨관반류,개량LichGregoir법수뇨관이식술조작간단,효과량호,병발증소,시치료소인단순수뇨관개구이위적개방수술.
Objective To evaluate the safety and efficacy of modified Lich Gregoir ureteral reimplantation for children with single opening ectopic ureter.Methods Eleven children aged from 7 months to 5 years underwent modified LichGregoir procedure for correcting dilated ureter and displacement of ureter opening,bilateral ureteral only one opening in bladder and bladder capacity was less than normal.Expansive ureter in lower abdomen was resected at the lowest place.We reattached the ureters into bladder with inverted "Y" shape incision in bladder muscle layer.Unobstruction was confirmed by an injection of methylene blue above proximal ureter.Results The procedure was successful in 11 patients,as confirmed by voiding cystourethrogram (VCUG) and intravenous pyelography (IVP) 4 30 months postoperatively.VCUG showed 2 cases of mild reflux and it disappeared after 1 year.And the remainder recovered smoothly.There is no occurrence of ureteralobstruction,urinary retention,urinary tract infection or new renal scarring after surgical correction.Conclusions With the advantages of simple operation,excellent outcomes and fewer complications,modified Lich Gregoir ureteral antireflux surgery is a open operation for treating single opening ectopic ureter in children.