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目的探索儿童原发性膀胱输尿管反流的临床治疗结果,寻求有效的治疗方案。方法选取我院在2011年1月~2015年1月收治的56例原发性膀胱输尿管反流患儿,对其临床资料进行回顾性分析,根据患儿的反流程度及年龄将其分为4组,对比治疗前后4组患儿的肾功能、反流程度及尿路感染情况。结果在56例患儿中有4例失访,有2例患儿的治疗依从性较差,因此研究中实际患儿为50例。0~1岁患儿应用抗生素治疗效果较好,1~5岁患儿用药手术治疗效果较好。结论根据患儿的不同的年龄及反流程度选择不同的治疗方案对治疗效果的提高具有重要的意义,复发尿路感染的预防及肾功能的保护具有临床应用价值。“,”Objective To explore the clinical outcome of primary vesicoureteral reflux in children so as to seek ef ective treatment regimens.Methods There were 56 cases of children with primary vesicoureteral reflux admit ed in our hospital from January 2011 to January 2015.Their clinical data was retrospectively analyzed.According to the severity of reflux and ages of the children,the patients were divided into four groups,and the renal function,severity of reflux,urinary tract infections of the four groups before and after treatment were compared.Results There were 4 cases lost to fol ow-up,2 cases with poor treatment compliance in the 56 cases,so the actual cases number in the study was 50.The application of antibiotics brought good results to 0~1 year old children,the medication and surgery brought good results to 1~5 years old children.Conclusion It has important significance to choose dif erent treatment regimens for the improvement of treatment ef ect according to ages and severity of reflux of the children;and the prevention of recur ent urinary tract infection,protection of renal function have value in clinical practice.