Thomalla J V, Leapman S B, Filo R S
Department of Surgery, Indiana University Medical Center, Indianapolis.
Br J Urol. 1990 Oct;66(4):363-8. doi: 10.1111/j.1464-410x.1990.tb14955.x.
Since 1982, we have used internal indwelling ureteric stents for the management and prevention of ureteric reconstruction complications in 28 renal allograft recipients. A total of 30 stents were placed in 18 patients either diagnostically or therapeutically in the management of allograft ureteric obstruction. In 16 patients internal stents were placed at the time of reconstruction for primary ureteropyelostomy (3), secondary ureteropyelostomy (8), repeat reimplant (3) and repair of ureteric or pelviureteric junction injury (2). Complications included 3 episodes of transplant pyelonephritis, proximal stent migration (1), persistent bacteriuria (1) and prolonged healing of a ureteropyelostomy (1). Internalised ureteric stenting is a safe and effective means of managing or preventing ureteric reconstruction complications in renal transplant recipients.
自1982年以来，我们对28例肾移植受者使用了内置输尿管支架来处理和预防输尿管重建并发症。18例患者共置入30枚支架，用于诊断或治疗同种异体移植输尿管梗阻。16例患者在重建时置入内支架，用于一期输尿管肾盂吻合术（3例）、二期输尿管肾盂吻合术（8例）、重复再植术（3例）以及输尿管或肾盂输尿管连接部损伤修复术（2例）。并发症包括3次移植肾肾盂肾炎发作、近端支架移位（1例）、持续性菌尿（1例）以及输尿管肾盂吻合口愈合延迟（1例）。内置输尿管支架置入术是处理或预防肾移植受者输尿管重建并发症的一种安全有效的方法。
