Effects of Bladder Dilatation Combined with Ureteral Replantation on Bladder Function and Urinary Flow Dynamics Parameters in Children with Neurogenic Bladder with Vesicoureteral Reflux
Objective To explore the effects of bladder dilatation combined with ureteral replantation on bladder function and urinary flow dynamics parameters in children with neurogenic bladder with vesicoureteral reflux.Methods A total of 83 children with neurogenic bladder combined with vesicoureteral reflux surgery were selected as the study objects.They were divided into the simple bladder dilatation group(simple group=41 cases,62 ureters)according to whether ureteral replantation was performed at the same time as bladder dilatation.In the group of bladder dilatation combined with ureteral replantation(combined group=42 cases,54 ureters),the surgical indexes,the level of bladder function,the level of urinary fluidity and the incidence of postoperative complications were compared between the two groups.Results The operation time of the combined group was higher than that of the simple group,and the postoperative hospitalization time was lower than that of the simple group(P<0.05).After operation,the bladder volume and bladder compliance in the combined group were higher than those in the simple group(P<0.05).The number of residual ureteral reflux and the residual rate of residual ureteral reflux in combined group were lower than those in simple group(P<0.05).Conclusion Both bladder dilatation and bladder dilatation combined with ureteral replantation can be used in the treatment of neurogenic bladder with vesicoureteral reflux in children.However,compared with bladder dilatation alone,bladder dilatation combined with ureteral replantation can shorten the postoperative recovery time,reduce the residual rate of ureteral reflux,and improve the level of urinary fluidity and overall bladder function in children.
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