Clinical analysis of primary vesicoureteral reflux in children
| Autor: | MARUYAMA, Yoshio, FUTAMI, Takashi, YOSHIKAWA, Motoyoshi, MORIYA, Akira, HORII, Yasuhiro, SASAKI, Kenji, KOMADA, Sadao, KUBOTA, Kazuo, BABAYA, Katsuhiro, IKUMA, Shyoichiro, HIRAMATSU, Tadashi, HIRAO, Yoshihiko, OKAJIMA, Eigoro |
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| Jazyk: | japonština |
| Rok vydání: | 1987 |
| Předmět: | |
| Zdroj: | 泌尿器科紀要. 33(4):527-534 |
| ISSN: | 0018-1994 |
| Popis: | Primary VUR 64症例について検討した.手術施行群ではVURは100%消失した.化学療法群ではgrade 1では約61.5%にVUR消失がみられたが, gradeが上昇するにしたがって消失例も少なくなった.したがってgrade 3またはgrade 4では手術療法が適応と考えられるが, low grade群においても, 腎機能障害の発生や進行について注意が必要である.一側VUR症例に関して経過観察中他側に新たにVURが出現した症例はなく, 両側ともanti-reflux surgeryを行なうことに関して The retrospective analysis of 64 patients between 1 month and 14 years old with 87 primary vesicoureteral units with reflux was reviewed. They were followed-up for a period of 3 to 60 months. Thirty one patients were managed conservatively by chemotherapy (group A) and 28 patients were treated surgically. As the anti-reflux operation the Politano-Leadbetter procedure was used in 27 patients and the modified Politano-Leadbetter procedure in 1 patient (group B). Five patients were not treated (group C). In 13 of the 30 renal units of group A, the vesico-ureteral reflux disappeared spontaneously and in group B the post-operative cystourethrography revealed cure of reflux in all the renal units. In 2 of the 21 renal units of group A excretory urography (IVP) revealed improvement and in 3 deterioration. Post-operative IVP revealed improvement in 13 of 39 renal units of group B and in 2 deterioration. In 3 of the 22 renal units of group A the renogram revealed improvement and in 3 deterioration. The post-operative renogram revealed improvement in 8 of the 28 renal units of group B and deterioration in renal units. Analysis was also made according to the vesicoureteral reflux grade. |
| Databáze: | OpenAIRE |
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