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首页> 外国专利> TECHNIQUE FOR SURGICAL ENDOSCOPIC TREATMENT OF PRIMARY CONGENITAL OBSTRUCTIVE DECOMPENSATED REFLUXING MEGAURETER IN NEWBORNS AND IN CHILDREN AGED BELOW 5 YEARS

TECHNIQUE FOR SURGICAL ENDOSCOPIC TREATMENT OF PRIMARY CONGENITAL OBSTRUCTIVE DECOMPENSATED REFLUXING MEGAURETER IN NEWBORNS AND IN CHILDREN AGED BELOW 5 YEARS

机译：5岁以下初生婴儿先天性阻塞性消融返流性小肠手术的内镜治疗技术

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The technique for surgical endoscopic treatment of the primary congenital obstructive decompensated refluxing megaureter in the newborns and in the children aged below 5 years provides for the complex reconstructive two-stage surgical treatment. At the first stage, nephrostomy or T-shaped direct or inverse ureterocutaneostomy is performed, the antireflux protection of the ureter is carried out. At the first stage, the external drainage of the upper urinary tract is performed at the age of 1-3 years. Upon the recovery of the contractile ability of the ureter, the decrease in its diameter at least to 10 mm, and the improvement of the renal function and the renal hemodynamics, the antireflux endoscopic correction is performed by paraureteral implantation of polyacrylamide gel Intefal preparation with continuing external drainage of the upper urinary tract. The second stage of the treatment consists in recovery of the integrity of the urinary tract when the external drainage of the upper urinary tract is terminated. This stage is performed when the vesico-ureteral reflux is absent upon the endoscopic correction.
机译：新生儿和5岁以下儿童中的原发性先天性阻塞性失代偿性返流性大输尿管的手术内窥镜治疗技术提供了复杂的重建性两阶段手术治疗。在第一阶段，进行肾造口术或T形直接或反向输尿管皮肤切开术，对输尿管进行抗返流保护。在第一阶段，上尿路的外部引流是在1-3岁进行的。当输尿管的收缩能力恢复，其直径至少​​减小至10 mm，肾功能和肾血液动力学改善后，可通过输尿管旁植入聚丙烯酰胺凝胶Intefal制剂持续进行抗反流内镜矫正。上尿路外部引流。治疗的第二阶段在于，当上尿路的外部引流终止时，恢复尿路的完整性。当内窥镜矫正不存在膀胱输尿管反流时，执行该阶段。

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