Kazimirov V G, Butrin S V, Kharitonov B I, Detinenko I N, Sapozhnikov A D
Urologiia. 2006 May-Jun(3):53-7.
Frequency of vesicoureteral reflux (VUR) variants was studied with miction cystography in 40 patients with chronic renal insufficiency. In 8 (20%) patients VUR was in their kidneys. The kidney was transplanted in 30 patients. The rate of urological complications was compared in ureterocystostomy by our technique and other procedures. In patients operated by our technique VUR did not occur. In 3 of 10 patients operated by other methods VUR into the transplant was found. Own kidney on the side of the reflux was removed in 4 patients after kidney transplantation. Indication for removal of own kidneys after allotransplantation of the kidney is urinary infection, arterial hypertension, pain in the lumbar spine. The proposed technique of ureterocystostomy has advantages in prevention of VUR into the renal transplant.
采用排尿性膀胱造影术对40例慢性肾功能不全患者的膀胱输尿管反流（VUR）变异频率进行了研究。8例（20%）患者存在肾脏VUR。30例患者接受了肾移植。比较了采用我们的技术进行输尿管膀胱吻合术与其他手术的泌尿系统并发症发生率。采用我们技术进行手术的患者未发生VUR。采用其他方法进行手术的10例患者中有3例出现移植肾VUR。4例患者在肾移植后切除了反流侧的自身肾脏。肾移植后切除自身肾脏的指征为尿路感染、动脉高血压、腰椎疼痛。所提出的输尿管膀胱吻合术技术在预防肾移植中发生VUR方面具有优势。
