Pinsach Elías L, Saladié Roig J M, Olazábal Zudaire A, Lauzurica Valdemoros R, Esteva Moreno N
Servicio de Urología, Hospital Universitario de Badalona Germans Trais i Pujol, Universidad Autónoma de Barcelona, España.
Arch Esp Urol. 1992 May;45(4):347-50.
In 51 heterotopic renal transplants performed in our setting, the continuity of the urinary tract was achieved by transvesical ureteroneocystostomy utilizing the Politano-Leadbetter and Paquin techniques. A retrospective study was conducted to determine the incidence of vesicoureteral reflux (VUR) in patients submitted to the foregoing techniques. Reflux was observed in only 1 (2.32%) of the 43 patients who were evaluated by voiding cystography. Urinary tract infection (UTI) was observed in 27 patients (62.7%). Of these, 5 (18.5%) had acute pyelonephritis. Most of the patients with no evidence of vesicoureteric reflux presented urinary tract infection (96.3%). The transvesical techniques achieved a low reflux rate. No difference was observed relative to the incidence of reflux for one or the other technique. No relationship could be established between VUR and UTI. Evaluation is warranted in patients with recurrent UTI that is refractory to antibiotic therapy or deterioration of renal function that cannot be ascribed to other causes.
在我们机构进行的51例异位肾移植中，采用波利塔诺-利德贝特（Politano-Leadbetter）技术和帕昆（Paquin）技术经膀胱输尿管膀胱吻合术实现了尿路的连续性。进行了一项回顾性研究，以确定接受上述技术治疗的患者中膀胱输尿管反流（VUR）的发生率。在43例通过排尿膀胱造影评估的患者中，仅1例（2.32%）观察到反流。27例患者（62.7%）观察到尿路感染（UTI）。其中，5例（18.5%）患有急性肾盂肾炎。大多数无膀胱输尿管反流证据的患者出现尿路感染（96.3%）。经膀胱技术实现了较低的反流率。两种技术在反流发生率方面未观察到差异。VUR与UTI之间未发现关联。对于对抗生素治疗难治的复发性UTI或无法归因于其他原因的肾功能恶化患者，有必要进行评估。
