mvjrМедицинский вестник Юга РоссииMedical Herald of the South of Russia2219-80752618-7876The Rostov State Medical University10.21886/2219-8075-2014-1-23-27mvjr-211Research ArticleОБЗОРЫREVIEWСОВРЕМЕННЫЕ ПОДХОДЫ К ЛЕЧЕНИЮ ПУЗЫРНО-МОЧЕТОЧНИКОВОГО РЕФЛЮКСА У ДЕТЕЙ (ОБЗОР ЛИТЕРАТУРЫ)CURRENT APPROACHES TO TREATMENT OF VESICOURETERAL REFLUX IN CHILDREN (REVIEW)ДобросельскийМ. В.DobroselskiyM. V.

Кафедра детской хирургии и ортопедии

Department of Pediatric Surgery and Orthopedics

maxim16111984@rambler.ruЧепурнойГ. И.ChepurnoyG. I.

Кафедра детской хирургии и ортопедии

Department of Pediatric Surgery and Orthopedics

КоганМ. И.KoganM. I.

Кафедра урологии и репродуктивного здоровья человека с курсом детской урологии

Department of Urology and Reproductive Health with the Course of Pediatric Urology

СизоновВ. В.SizonovV. V.

Кафедра урологии и репродуктивного здоровья человека с курсом детской урологии

Department of Urology and Reproductive Health with the Course of Pediatric Urology

Ростовский государственный медицинский университетРоссияRostov State Medical UniversityRussian Federation201430032014012327Copyright © Добросельский М.В., Чепурной Г.И., Коган М.И., Сизонов В.В., 20142014Добросельский М.В., Чепурной Г.И., Коган М.И., Сизонов В.В.Dobroselskiy M.V., Chepurnoy G.I., Kogan M.I., Sizonov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medicalherald.ru/jour/article/view/211

Несмотря на существующие рекомендации и огромное количество научных публикаций по ведению и лечению пациентов с пузырно-мочеточниковым рефлюксом (ПМР), до сих пор нет идеального общепринятого алгоритма лечения детей с данной патологией. В течение 70 лет активного изучения проблемы рефлюкса чаша весов периодически склоняется то в сторону консервативного, то хирургического подхода, накоплен достаточный опыт как в открытой, малоинвазивной хирургии, так и в консервативном лечении. 10-летнее использование рекомендаций Европейской ассоциацией урологов (EAU) позволил накопить опыт и трансформировать подходы к выбору метода лечения пациентов с пузырно-мочеточниковым рефлюксом.

Although of existing guidelines and a lot of scientific publications of the management and care in patients with vesicoureteral reflux (VUR), up to now there isn’t the universally accepted algorithm for ideal treatment in children with such disorder. In during 70 years of intensive study of the problem of reflux, the balance periodically tends either towards the conservative, or to the surgical approach, was accumulated sufficient experience in open, minimally invasive surgery, and in the conservative treatment. The 10-years using of the recommendations of the European Association of Urology (EAU) provided experience and allowed to transform approaches to the selection of treatment for patients with vesicoureteral reflux.

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The authors declare that there are no conflicts of interest present.