Sánchez Tamayo J, Martínez Torres J L, de la Fuente Serrano A, Nogueras Ocaña M, Jiménez Verdejo A, Zuluaga Gómez A
Servicio de Urología, Hospital Universitario San Cecilio, Granada.
Actas Urol Esp. 1999 Apr;23(4):350-8.
Wide ureteral injuries are unusual but not exceptional and have few conservative therapeutic options, specially those that involve the upper ureter. Autotransplantation, ureteral substitution by intestine and combined Boari bladder flap-psoas bladder hitch are basically the only chances to avoid nephrectomy. In this paper we report five cases in which ileum was used to substitute the ureter and review the most outstanding literature about this subject.
广泛的输尿管损伤虽不常见但并非罕见，且保守治疗选择有限，尤其是涉及上段输尿管的损伤。自体移植、肠代输尿管以及联合Boari膀胱瓣-腰大肌膀胱固定术基本上是避免肾切除术的唯一机会。在本文中，我们报告了5例使用回肠替代输尿管的病例，并回顾了关于该主题的最杰出文献。
