采用膀胱外输尿管膀胱吻合术并行切口进行肾移植术后无需进行术后膀胱造影。
Postoperative cystography is unnecessary following renal transplantation with parallel incision extravesical ureteroneocystostomy.
作者信息
Conlin M J, Lemmers M J, Barry J M
机构信息
Department of Surgery, Oregon Health Sciences University, Portland 97201-3098, USA.
出版信息
Tech Urol. 2001 Mar;7(1):55-6.
PURPOSE
To determine the need for postoperative cystography following extravesical ureteroneocystostomy for renal transplantation.
MATERIALS AND METHODS
The clinical courses of 200 consecutive kidney transplant recipients who underwent urinary tract reconstruction by parallel incision extravesical ureteroneocystostomy were reviewed.
RESULTS
Five of the 200 recipients did not have the study because of early mortality (1) or medical problems (4). Grade I vesicoureteral reflux was present in 5 (3%) of 182 unstented allograft ureters and 5 of 13 stented allograft ureters. Two patients (1%) underwent repeat ureteroneocystostomy, one for obstruction and one for extravasation. The cystograms were normal in both patients.
CONCLUSIONS
Routine retrograde cystography is unnecessary following urinary tract reconstruction by parallel incision extravesical ureteroneocystostomy.
目的
确定肾移植行膀胱外输尿管膀胱再植术后进行术后膀胱造影的必要性。
材料与方法
回顾了200例连续接受肾移植并行平行切口膀胱外输尿管膀胱再植术进行尿路重建患者的临床病程。
结果
200例患者中有5例因早期死亡（1例）或医疗问题（4例）未进行该项检查。182条未放置支架的移植输尿管中有5条（3%）及13条放置支架的移植输尿管中有5条出现Ⅰ级膀胱输尿管反流。2例患者（1%）接受了再次输尿管膀胱再植术，1例因梗阻，1例因外渗。2例患者的膀胱造影均正常。
结论
平行切口膀胱外输尿管膀胱再植术进行尿路重建后无需常规逆行膀胱造影。
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