[The late results of the surgical treatment of vesicorenal reflux in children].
1-27-year follow-up results are available for 455 patients who at the age of 3 months-14 years were operated on vesicoureteral segments with reflux of the II, III and IV degree. Overall 648 interventions were made, of them 78 according to Grégoir-Lich (54 patients). Good results were obtained in 91.02% of cases (reflux degree II and III). Resection of distal ureter with its implantation into the bladder by Politano-Leadbetter technique was performed in 401 patients on 570 vesicoureteral segments. In reflux degree II and III good outcomes were reached in 97.37%, degree IV in 90.80% of the cases. Histological findings on the resected ureters showed that pathogenetically the reflux was initiated by structural changes in distal ureteral wall which occurred as a congenital or acquired condition. The removal of the destroyed segment contributed to advanced treatment effects. The reflux elimination favoured renal growth and clinical improvement of pyelonephritis. X-ray images of 150 kidneys (95 patients) 10-26 years after the reflux discontinuation reflected a 1.5-5-fold increase in the kidney size. Before stabilization parenchymal sclerosis developed the following 1-2 to 10-15 years.
Cheskis
A L
AL
Vinogradov
V I
VI
Severgina
E S
ES
Leonova
L V
LV
Ostapko
M S
MS
Lapovok
G G
GG
Tul'tsev
A I
AI
Berro
S
S
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D011182:Postoperative Care; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000379:methods; D014718:Vesico-Ureteral Reflux / Q000145:classification / Q000601:surgery*
Otdalennye rezul'taty operativnogo lecheniia puzyrno-pochechnogo refliuksa u deteĭ.