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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 398 - 404 (7page)
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초록· 키워드
오류제보하기
Purpose: Endoscopic treatment (ET) has become a widely accepted procedure for treating vesicoureteral reflux (VUR). However, patients followed up after ET over long periods have reported persistent or recurrent VUR. We evaluated the natural course of failed ET in patients who required further treatments to help physicians in making decisions on the treatment of VUR.
Materials and Methods: We retrospectively reviewed the medical records of patients who were diagnosed with VUR and underwent ET from January 2006 to December 2009. A total of 165 patients with 260 ureters underwent ET. We compared the parameters of the patients according to ET success or failure and evaluated the natural course of the patients after ET failure.
Results: Mean VUR grade and positive photon defect were higher in the failed ET group than in the successful ET group. Six months after the operation, persistent or recurrent VUR was observed in 76 ureters (29.2%), and by 16.3 months after the operation, VUR resolution was observed in 18 ureters (23.7%). Twenty-five ureters (32.9%) without complications were observed conservatively. Involuntary detrusor contraction was found in 1 of 9 (11.1%) among the secondary ET success group, whereas in the secondary ET failure group, 4 of 6 (66.7%) had accompanying involuntary detrusor contraction.
Conclusions: Patients in whom ET fails can be observed for spontaneous resolution of VUR unless they have febrile urinary tract infection or decreased renal function. Urodynamic study may be helpful in deciding whether a secondary procedure after ET failure is necessary.
목차
등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
Lackgren G / 2001 / Long-term followup of children treated with dextranomer/hyaluronic acid copolymer for vesicoureteral reflux / J Urol 166:1887~1892
Elder JS / 2007 / Part 3: Endoscopic injection versus antibiotic prophylaxis in the reduction of urinary tract infections in patients with vesicoureteral reflux / Curr Med Res Opin 23(Suppl 4):S15~S120
Molitierno JA / 2008 / Endoscopic treatment of vesicoureteral reflux using dextranomer hyaluronic acid copolymer / J Pediatr Urol 4:221~228
Lee EK / 2009 / Long-term followup of dextranomer/hyaluronic acid injection for vesicoureteral reflux: late failure warrants continued followup / J Urol 181:1869~1874
Higham-Kessler J / 2007 / A review of failures of endoscopic treatment of vesicoureteral reflux with dextranomer microspheres / J Urol 177:710~714
Elder JS / 2007 / Part 3: Endoscopic injection versus antibiotic prophylaxis in the reduction of urinary tract infections in patients with vesicoureteral reflux / Curr Med Res Opin 23(Suppl 4):S15~S120
Molitierno JA / 2008 / Endoscopic treatment of vesicoureteral reflux using dextranomer hyaluronic acid copolymer / J Pediatr Urol 4:221~228
Lee EK / 2009 / Long-term followup of dextranomer/hyaluronic acid injection for vesicoureteral reflux: late failure warrants continued followup / J Urol 181:1869~1874
Higham-Kessler J / 2007 / A review of failures of endoscopic treatment of vesicoureteral reflux with dextranomer microspheres / J Urol 177:710~714
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