Mongha Ritesh, Kumar Anant
Departments of Urology and Kidney Transplant, Fortis Hospital, Vasant Kunj, New Delhi-110 070, India.
Indian J Urol. 2010 Jul;26(3):450-3. doi: 10.4103/0970-1591.70594.
Vesicoureteric complications present early after transplantation and contribute to patient morbidity, graft loss and mortality. Ureteral stenting provides a decrease in ureteroneocystostomy anastomotic complications following renal transplantation. There should be prophylactic stent insertion with endoscopic removal at a designated time post transplantation. With the addition of antibiotic prophylaxis post transplantation, ureteric stenting does not increase the rate of urinary tact infections. There is no significant increase in cost for stenting during transplantation in comparison to management of major ureteric complications. Routine stenting causes significant cost-saving per year and prevents anastomotic complications. It is wise to stent the transplant ureter routinely.
膀胱输尿管并发症在移植后早期出现，会导致患者发病、移植肾丢失和死亡。输尿管支架置入可降低肾移植后输尿管膀胱吻合口并发症的发生率。移植后应在指定时间进行预防性支架置入并通过内镜取出。加上移植后使用抗生素预防，输尿管支架置入不会增加尿路感染的发生率。与处理主要输尿管并发症相比，移植期间支架置入的费用没有显著增加。常规支架置入每年可显著节省费用并预防吻合口并发症。常规对移植输尿管进行支架置入是明智的。
