Hsiao Hsi-Lin, Li Ching-Chia, Chang Tu-Hao, Wu Wen-Jeng, Chou Yii-Her, Shen Jung-Tsung, Jang Mei-Yu, Huang Chun-Hsiung
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2007 May;23(5):259-64. doi: 10.1016/S1607-551X(09)70407-3.
We report a patient who was diagnosed with end-stage renal disease and who received renal transplantation in her right iliac fossa in 2003. After transplantation, right hydronephrosis was noted on abdominal ultrasonography and right lower ureteral stricture was diagnosed by antegrade pyelography. She received ureter internal stent insertion three times, but hydronephrosis and urinary tract infection recurred after the stent was removed. Therefore, Acucise endoureterotomy was used to treat the recurrent ureteral stricture. The patient was discharged on the second postoperative day and abdominal ultrasonography revealed no hydronephrosis during regular follow-up.
我们报告了一名被诊断为终末期肾病的患者,她于2003年在右髂窝接受了肾移植。移植后,腹部超声检查发现右肾积水,顺行肾盂造影诊断为右输尿管下段狭窄。她接受了三次输尿管内支架置入,但支架取出后肾积水和尿路感染复发。因此,采用Acucise腔内输尿管切开术治疗复发性输尿管狭窄。患者术后第二天出院,定期随访期间腹部超声检查未发现肾积水。