Clinical observation of modified Cohen operation on ureterocele in children
Objective To explore the clinical effect of modified Cohen operation on ureterocele in children.Methods Children with modified Cohen operation in Children's Hospital,Capital Institute of Pediatric from November 2019 to August 2022 were selected,and the clinical data were collected.The anterior-posterior renal pelvic diameter(APD)and ureteral diameter(UD)were compared before and after operation.Results A total of 12 children were selected,including seven males and five females,aged from 1 to 11 years old.There were six cases on the left ureter,five on the right ureter and one on both sides.Dysuria occurred in seven cases,intermittent abdominal pain and abdominal distension in three cases,and recurrent urinary tract infection in two cases.All the children were operated successfully,and the symptoms of dysuria,abdominal pain,abdominal distension and urinary tract infection disappeared.The results of APD and UD after operation were lower than those before operation,and the differences were statistically significant(P<0.05).One child complicated with vesicoureteral reflux(grade Ⅳ)in left side before operation was reduced to grade Ⅱ after operation.There was no new vesicoureteral reflux and urinary tract infection in all the 12 children.Conclusions The modified Cohen operation is a safe and feasible method to treat ureterocele in children with its simple operation,remarkable clinical effect and few postoperative complications.
NETL
NSTL
万方数据
