【摘要】 目的探讨Cohen术治疗小儿膀胱输尿管返流的临床疗效。方法 2003年6月至2008年12月我院对收治的32例膀胱输尿管返流患儿行Cohen手术。其中男20例,女12例;年龄3个月～9岁,<1岁者9例,1～3岁者13例,>3岁者10例。结果 32例患儿均于Cohen术后半年行排泄性膀胱尿道造影(VCUG)检查,其中2例出现膀胱输尿管返流,成功率为93.75%。泌尿系感染、发热等症状消失,尿失禁症状明显改善,6例行膀胱镜检见术侧输尿管口呈"火山口型"。结论 Cohen术式不干扰膀胱外组织及支配膀胱运动的盆底神经丛,创伤少,并发症少,解剖清楚,术野清晰,手术成功率高,是治疗儿童膀胱输尿管返流的标准术式。更多还原

【Abstract】 Objective To study the clinical efficacy of Cohen surgery for the treatment of vesicoureteral reflux in children. Methods From June 2003 to December 2008, 32 Cohen surgery were performed in our hospital for children with vesicoureteral reflux. All these patients had ever been treated with non-surgical. The age of patients ranged from 3 months to 9 years, of those 20 were males and 12 were female. Nine cases had surgery when they were younger than one year old and 13 cases had operation when they were at 1～3 years old. Three of them were operated when they were older than 3 years old. Results Thirty-two cases underwent Cohen-type operation had VCUG examination six months after operation. Of which two patients had vesicoureteral reflux (VUR), the VCUG examination of the remaining children revealed no vesicoureteral reflux. The successful rate was 93.75%. Urinary tract infection, fever and other symptoms disappeared, and urinary incontinence was improved. Six cases had cystoscopic examination and "volcano-type" ureteral orifice of the operative side could be seen. Conclusions The Cohen surgery does not interfer with the function of the urinary bladder or pelvic plexus that controlurinary bladder movement. It is the standard treatment for vesicoureteral reflux in children. It has the advantage of minimal trauma and less complications.更多还原