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作者报告在膀胱镜下于输尿管粘膜下注射Teflon治疗113例儿童217根输尿管的膀胱输尿管反流的结果。131例中女孩113例、男孩18例,单侧反流45例,双侧反流86例,共217根输尿管,患儿平均年龄4岁(1个月至17.5岁)。反流包括Ⅰ-Ⅴ型、85.3%为原发性反流,14.7%为继发性。治疗方法为:在膀胱镜内插入5F可曲导管,于患侧输尿管粘膜下注射Teflon 0.05～2.5ml,80%以上为0.15～0.35ml,注射后不久即可作膀胱造影检查效果。结果注射1次后85.11%反流消失,注射2次后89.3%治愈。追踪1年93.22%病情稳定,反流消失。手术并发症较少,3例下尿路感染,1例肾盂肾炎,血尿,但在24小时内即得到控制,术后24小时超声检查,10例输尿管轻度扩张,7例较重扩张,此17例中有3例
The authors report the results of cystoscopic ureter submucosal injection of Teflon in the treatment of vesicoureteral reflux in 217 ureters of 113 children. Among 131 cases, 113 were girls, 18 were boys, 45 were unilateral reflux, and 86 were bilateral reflux. A total of 217 ureters were obtained, with a mean age of 4 years (range, 1 month to 17.5 years). Reflux includes type I-V, 85.3% primary reflux, 14.7% secondary. Treatment is: Cystoscopy 5F can be inserted into the catheter, the ipsilateral ureteral injection of Teflon 0.05 ~ 2.5ml submucosa, more than 80% of 0.15 ~ 0.35ml, shortly after the injection can be used for cystoscopy results. Results After 1 injection, 85.11% of the reflux disappeared, and 89.3% of the patients were cured after 2 injections. Followed up for 1 year 93.22% Stable condition, reflux disappeared. Surgical complications were less, 3 cases of lower urinary tract infection, 1 case of pyelonephritis, hematuria, but within 24 hours that is controlled, 24 hours after ultrasound examination, 10 cases of mild ureteral dilatation, 7 cases of severe dilatation, this There were 3 cases in 17 cases