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首页> 外文期刊>BJU international >Treatment of vesico-ureteric reflux: a new algorithm based on parental preference.
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Treatment of vesico-ureteric reflux: a new algorithm based on parental preference.

机译：膀胱输尿管反流的治疗：一种基于父母偏好的新算法。

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Authors from Rome evaluated parental preference for treatment in children with grade III VUR. Parents were provided with detailed information about the three treatment options: antibiotic treatment, open surgery, endoscopic treatment. Most parents chose endoscopic management; with this in mind, the authors proposed a new treatment algorithm for VUR. OBJECTIVE: To assess parental preference (acknowledged in treatment guidelines as important when choosing therapy) about treatments for vesico-ureteric reflux (VUR, commonly associated with urinary tract infection and which can cause long-term renal damage if left untreated), as at present there is no definitive treatment for VUR of moderate severity (grade III). SUBJECTS AND METHODS: The parents of 100 children with grade III reflux (38 boys and 62 girls, mean age 4 years, range 1-15) were provided with detailed information about the three treatment options available for treating VUR (antibiotic prophylaxis, open surgery and endoscopic treatment), including the mode of action, cure rate and possible complications, and the practical advantages and disadvantages. They were then presented with a questionnaire asking them to choose their preferred treatment. RESULTS: Most parents preferred endoscopic treatment (80%), rather than antibiotic prophylaxis (5%) or open surgery (2%); 13% could not decide among the three options and endoscopic treatment was recommended. CONCLUSION: Given the strong preference for endoscopic treatment we propose a new algorithm for treating VUR; endoscopic treatment would be considered as the first option for persistent VUR, except in severe cases where open surgery would still be recommended.
机译：罗马的作者评估了三级VUR儿童的父母对治疗的偏爱。为父母提供了有关三种治疗方案的详细信息：抗生素治疗，开放手术，内窥镜治疗。大多数父母选择内镜治疗。考虑到这一点，作者提出了一种新的VUR处理算法。目的：评估父母对目前关于膀胱输尿管反流治疗（VUR，通常与尿路感染有关，如果不及时治疗可能导致长期肾损害）的治疗方法（在选择治疗方案时在治疗指南中被认为是重要的）的父母偏好。对于中度严重度的VUR（III级）没有明确的治疗方法。研究对象和方法：向100名III级反流儿童（38名男孩和62名女孩，平均年龄4岁，范围1-15）的父母提供了有关可用于治疗VUR（抗生素预防，开放式手术）的三种治疗方案的详细信息。和内镜治疗），包括作用方式，治愈率和可能的并发症，以及实际的优缺点。然后，他们收到一份问卷，要求他们选择自己喜欢的治疗方法。结果：大多数父母倾向于内镜治疗（80％），而不是抗生素预防（5％）或开放手术（2％）; 13％的患者无法在这三个方案中做出选择，因此建议进行内镜治疗。结论：鉴于内镜治疗的强烈偏好，我们提出了一种治疗VUR的新算法。内镜治疗被认为是持续性VUR的首选，除非在严重情况下仍建议进行开放手术。

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