膀胱输尿管逆流的手术治疗方法很多,作者介绍用Lich-Gregoit抗逆流手术治疗60例101条输尿管的经验,并对149条输尿管术后追踪5～20年。成功率92.5％,另加再修补手术后成功的3.75％。手术方法较简单;病人仰卧,消毒后行脐下横切口或纵切口,脐动脉常需结扎,分离出髂血管下输尿管,加予保护,小心分离直至输尿管进入膀胱部位,于输尿管进入膀胱部为中点,在膀胱上作一横切口,直达粘膜层,但不能切破粘膜,切口绝不能切成围绕输尿管的切口,因为这样会切断所有输尿管三角区肌纤维,而这些肌纤维是维持输尿管膀 There are many surgical treatments for vesicoureteral reflux. The authors describe 60 cases of 101 ureters treated with Lich-Gregoit anti-retrograde surgeries and traced 149 ureteral tracts for 5 to 20 years. The success rate of 92.5%, plus 3.75% after successful repair surgery. Surgical methods are simple; the patient supine, after disinfection under the umbilical transverse incision or longitudinal incision, umbilical artery often need to ligation, iliac vascular isolation ureter, plus protection, careful separation until the ureter into the bladder, ureter into the bladder for Midpoint, make a transverse incision in the bladder, direct mucosal layer, but can not cut the mucosa, the incision must not be cut around the ureter incision, because it will cut off all of the ureteral triangular muscle fibers, and these fibers are to maintain the ureter