继发于后尿道瓣膜的膀胱输尿管返流  

Vesicoureteric reflux in patients with posterior urethral valve

作　　者：张爱民[1,2] 谢家伦[1,2] 赖炳耀[1,2] 

机构地区：[1]暨南大学医学院附属医院小儿外科 [2]中山医科大学第一附属医院小儿外科

出　　处：《中华泌尿外科杂志》1998年第2期110-111,共2页Chinese Journal of Urology

摘　　要：报告９例因排尿困难、反复泌尿系感染等症状，经排尿性膀胱尿道造影（ＭＣＵ）检查发现有后尿道瓣膜（ＰＵＶ）及继发性膀胱输尿管返流（ＶＵＲ）患儿，共１５侧。２例经后尿道切开电灼尿道瓣膜，术后留置尿管分别治疗２５和２８个月，现排尿通畅；７例经尿道内窥镜电灼尿道瓣膜，术后排尿均明显改善。术后１３～２８个月（平均１８个月），８例经ＭＣＵ复查，发现只有３侧较轻的返流消失、２侧减轻。认为继发于后尿道瓣膜的膀胱输尿管返流在瓣膜切除后返流仍难自愈，建议在瓣膜切除后尽早做抗返流处理。In 9 boys suffered from dysuria, cloudy urine and recurrent fever, posterior urethral valve(PUV)with vesicoureteral reflux(VUR)was diagnosed on micturatin cystourethrography (MCU) and IVU. The reflux was found on 15 sides. Valve ablation by endoscopic fulguration was carried out for 7 and by urethrotomy fulguration in 2. Catheterization was needed for 25～28 months because of difficult urination in the latter 2. Normal urination has been observed in the other 7 right after the operation. MCU was carried out for 8 boys 13～28 months after operation with a mean of 18 months and vesicoureteral reflux vanished in only 3 and alleviated in 2. So, it was suggested that antireflux surgery should be done as early as possible in posterior urethral valve with severe vesicoureteric reflux.

关 键 词：膀胱输尿管返流 儿童 后尿道瓣膜 切除术 

分 类 号：R726.96[医药卫生—儿科] R726.915[医药卫生—临床医学]