膀胱输尿管反流的诊疗争议和研究进展  

The controversy and research progress of the vesicoureteral reflux

作　　者：许靖(综述)[1] 徐虹(审校)[1] 

机构地区：[1]复旦大学附属儿科医院肾内科,上海200032

出　　处：《国际儿科学杂志》2010年第4期387-390,共4页International Journal of Pediatrics

摘　　要：小儿原发性膀胱输尿管反流（vesicoureteric reflux,VUR）与尿路感染、排尿功能障碍相伴发生,常常导致肾疤痕、肾萎缩、高血压、肾功能减退等一系列反流性肾病的表现,重者甚至进展为终末期肾病.目前,随着对VUR治疗经验的累积,在诊断策略及治疗上都出现了一定的争议.无论手术治疗或非手术治疗结果仍不令人满意,VUR的发病机制目前还不清楚,需要进行进一步的研究和探索.Children with primary vesicoureteral reflux（VUR） are often complicated with urinary tract infection and voiding dysfunction.It often leads to kidney scarring,renal atrophy,hypertension,kidney dysfunction and a series performance of reflux nephropathy.In serious cases it can even progressed to end-stage renal disease.Now,with the accumulated experience of VUR treatment,the diagnosis strategy and the treatment remains certain amount of controversy.Whether the surgery or non-surgical treatment,the results are still not satisfactory,the pathogenesis of VUR is still unclear,the further study and exploration for the pathogenesis of VUR is required.

关 键 词：膀胱输尿管返流 返流性肾病 

分 类 号：R692[医药卫生—泌尿科学]