Hensle T W, Dean G E
Columbia University College of Physicians and Surgeons, New York, New York.
Urol Clin North Am. 1991 Nov;18(4):755-64.
Urinary tract reconstruction has benefited a vast number of patients with dysfunctional lower urinary tracts caused by congenital abnormalities, previous surgery, or both. Reconstructive efforts have been innovative and continue to evolve. With this evolution, new complications continue to appear, and in order to minimize the risk to the patient, we must recognize our previous lessons. Appropriate patient selection is essential in achieving a successful outcome in this group. The patient's neurologic status, urologic anatomy, renal function, and motivation are also important factors in choosing the appropriate patient and correct surgical approach. Close follow-up remains the single most important element in assuring long-term well-being for most of these patients.
尿路重建使大量因先天性异常、既往手术或两者兼而有之导致下尿路功能障碍的患者受益。重建工作不断创新并持续发展。随着这种发展，新的并发症不断出现，为了将患者的风险降至最低，我们必须汲取以往的经验教训。合适的患者选择对于在这组患者中取得成功结果至关重要。患者的神经状况、泌尿系统解剖结构、肾功能和积极性也是选择合适患者和正确手术方法的重要因素。密切随访仍然是确保大多数此类患者长期健康的最重要单一要素。
