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내시경적 요관점막하 Polydimethylsiloxane 주입법에 의한 소아 방광요관역류 교정의 성적

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Author(s)
박종욱김광세
Keimyung Author(s)
Kim, Kwang Sae
Department
Dept. of Urology (비뇨의학)
Journal Title
대한비뇨기과학회지
Issued Date
2003
Volume
44
Issue
2
Abstract
Purpose: We evaluated the efficacy of an endoscopic subureteral injection of polydimethylsiloxane(Macroplastique) for the correction of vesicoureteral reflux in children. Materials and Methods: The medical records of 15 children(19 refluxing ureters), who had undergone a single endoscopic subureteral injection of polydimethylsiloxane for the treatment of vesicoureteral reflux, were reviewed. After the injection, voiding cystourethrograms were performed after 3 to 10 months to evaluate the results. Renal and bladder ultrasonograms were taken after 3 to 30 months to check for the development of de novo hydroureteronephrosis and the presence of the implant at the bladder base. The follow-up duration was between 7 and 43 months. Results: Of the 15 patients, there were 6 boys and 9 girls, with ages ranging from 12 months to 14 years. The reflux was resolved in 10 of the 19 ureters, in 8 of the 15 children, after a single injection. The resolutions of reflux, by grade, were none in 2, 2 in 4, 5 in 7, 1 in 4 and 2 in 2 of the ureters of grade I to V, respectively. The unilateral reflux was resolved in 7 of the 12, the bilateral reflux in 2(3 ureters) of the 3 and the reflux in a duplicated system in 1 of the 3 cases(2 ureters out of 4 ureters). In two cases with persistent reflux, ureteral reimplantations were performed due to repeated urinary tract infections and de novo upper pole ureteral refluxes. The remaining 5 cases with persistent reflux were observed with prophylactic antibiotics. Refluxes recurred in 2 of the ureters at 29 and 36 months after the injection, so chemoprophylaxis was restarted. Conclusions: The single endoscopic subureteral polydimethylsiloxane injections resulted in a low success rate, but at a high cost. This procedure is considered inappropriate as a first line method for the correction of vesicoureteral reflux in children.(Korean J Urol 2003;44:150-154)
Key word : Endoscopy,Vesico-ureteral reflux,Polydimethylsiloxane,Injections
Alternative Title
An Experience of Endoscopic Polydimethylsiloxane Injection for the Treatment of Vesicoureteral Reflux in Children
Keimyung Author(s)(Kor)
김광세
Publisher
School of Medicine
Citation
박종욱 and 김광세. (2003). 내시경적 요관점막하 Polydimethylsiloxane 주입법에 의한 소아 방광요관역류 교정의 성적. 대한비뇨기과학회지, 44(2), 150–154.
Type
Article
ISSN
2005-6737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38721
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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