Merrot T, Teklali Y, Zerhouni H, Chaumoître K, Alessandrini P
Service de chirurgie infantile, pavillon mère-enfant, centre hospitalier universitaire Nord, université de la Méditerranée, chemin des Bourrelly, 13015 Marseille, France.
Ann Urol (Paris). 2003 Feb;37(1):27-9. doi: 10.1016/s0003-4401(02)00012-8.
The use of vermiform appendix as a tube to replace right ureteral segment has been reported, rarely in child. Herein is reported a case of right ischemic ureteral stenosis following a reimplantation of the ureter for high grade reflux secondary to posterior urethral valves with only one functioning kidney. A long ureteral defect was bridged successfully by appendix interposition and then reimplanted in the bladder at four years of age. The interest of ureteroappendiculoplasty provides temporary solution to repair long ureteral defect, in spite of uncertain future, especially in childhood.
据报道，有人使用阑尾作为管道来替代右侧输尿管段，这种情况在儿童中极为罕见。本文报告了一例因后尿道瓣膜继发高度反流而进行输尿管再植术后出现右侧缺血性输尿管狭窄的病例，患儿仅有一个功能肾。在患儿四岁时，通过阑尾置入成功桥接了长段输尿管缺损，随后将其重新植入膀胱。输尿管阑尾成形术的意义在于，尽管未来情况不确定，但它为修复长段输尿管缺损提供了一种临时解决方案，尤其是在儿童期。
