Franc-Guimond Julie, González Ricardo
Division of Pediatric Urology, Alfred I duPont Hospital for Children, Wilmington, DE 19899, USA.
Transplantation. 2004 Apr 15;77(7):1116-20. doi: 10.1097/01.tp.0000116898.59741.97.
In this article, we review the outcome and complications of renal transplantation in patients with reconstructed bladders and address specific issues and controversies regarding the management of such cases. Twenty-five articles covering the subjects of renal transplantation, lower urinary tract anomalies, and bladder reconstruction have been selected. Although urologic complications are higher when kidneys are transplanted into reconstructed bladders or urinary diversions, the graft and patient survival rates in most series are comparable with those transplanted into nonreconstructed bladders. The reported series of renal transplantation into abnormal bladders are small, and controlled studies are lacking. Bladder reconstruction should be performed before transplantation when clinically indicated.
在本文中，我们回顾了膀胱重建患者肾移植的结果及并发症，并探讨了此类病例管理中的特定问题和争议。我们选取了25篇涵盖肾移植、下尿路异常及膀胱重建主题的文章。尽管将肾脏移植到重建膀胱或尿流改道患者体内时泌尿外科并发症发生率更高，但大多数系列研究中的移植物和患者生存率与移植到未重建膀胱的情况相当。报道的将肾脏移植到异常膀胱的系列研究规模较小，且缺乏对照研究。临床有指征时，应在移植前进行膀胱重建。
