Kawakita M, Kamoto T, Okabe T
Department of Urology, Medical Center for Adult Diseases, Shiga.
Hinyokika Kiyo. 1992 Feb;38(2):167-72.
Hammock nonrefluxing ureteroileal anastomosis was performed on 14 patients who had urinary tract reconstruction using ileal conduit (4), Kock pouch (3), modified Kock pouch with plicated efferent limb (1) and ileal neobladder (6). Radiographic examinations showed ureteral reflux of contrast medium in one patient (7.1%), ureteral stenosis in one patient (7.1%) and no urine leakage. Three patients had pyelonephritis (21.4%) and no one had any upper tract urolithiasis. This technique provides a simple and reliable antireflux mechanism into ileal segments without nonabsorbable material.
对14例行尿路重建术的患者实施了吊床式抗反流输尿管回肠吻合术,这些患者分别采用了回肠导管(4例)、Kock袋(3例)、带折叠输出襻的改良Kock袋(1例)和回肠新膀胱(6例)。影像学检查显示,1例患者(7.1%)出现造影剂输尿管反流,1例患者(7.1%)出现输尿管狭窄,未发现尿液渗漏。3例患者发生肾盂肾炎(21.4%),无1例出现上尿路结石。该技术为回肠段提供了一种简单可靠的抗反流机制,且无需使用不可吸收材料。