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원발성 일측 방광요관역류 교정술 후 반대측 요관에서의 역류

Other Titles
 The Incidence of Contralateral Vesicoureteral reflux after Endoscopic or Open Surgical Correction of Primary Unilateral Vesicoureteral Reflux in Children 
Authors
 한웅규  ;  김장환  ;  장수연  ;  조철규  ;  한상원  ;  최승강 
Citation
 Korean Journal of Nephrology (대한신장학회지), Vol.20(1) : 94-98, 2001 
Journal Title
 Korean Journal of Nephrology (대한신장학회지) 
ISSN
 1225-0015 
Issue Date
2001
Keywords
vesico-ureteral reflux ; ureter ; blad-der
Abstract
The incidence of contralateral reflux after unilateral reimplantation in children with primary unilateral vesicoureteral reflux(VUR) is reported to be 0.8- 32%. We evaluated the characteristics of contralateral reflux after endoscopic or open surgical correction of primary unilateral VUR in children. 30 children who underwent unilateral reimplantation by Paquin (25pts) and submucosal Macroplastique injection(5pts) were evaluated. The association between postoperative contralateral reflux and age, sex, ipsilateral implant side, postoperative urinary tract infection, and surgical method were evaluated. There were 18 male and 12 female patients. Initial reflux was observed in the right in 18 and 12 in left. The initial reflux grades were II, III, IV, and V in 2, 11, 14, and 3 patients, respectively. Postoperative urinary tract infection was observed in 4 patients of whom 1 had contralateral reflux. In conclusion, there was no single factor that could predict the development of contralateral reflux after unilateral correction of unilateral primary VUR. Furthermore, the fact that contralateral reflux occurred even after submucosal Macroplastique injection suggests that the method of surgery is not related to the subsequent development of contralateral reflux.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jang Hwan(김장환) ORCID logo https://orcid.org/0000-0002-9056-7072
Cho, Chul Kyu(조철규)
Choi, Seung Kang(최승강)
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142215
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