Rodríguez Luna J M, Fernández Fernández A, Mayayo Dehesa T, Burgos Revilla J, Orte L
Actas Urol Esp. 1989 May-Jun;13(3):193-4.
237 kidney transplants were performed in our department in a period running from November 1979 to October 1986. Out of this total number of transplants we analyzed the incidence of fistulas of the upper urinary tract, which in our series is 3.3%. Following a study protocol of these patients referring to multiple parameters, we conclude that in our series fistulas of the upper urinary tract appear precociously (less than 45 days post-transplant) and in connection with acute rejection episodes (high doses of steroids). On the basis of anatomopathological criteria we establish that its treatment has to be surgical and a meticulous surgical extraction technique is essential for its prevention.
1979年11月至1986年10月期间,我科共进行了237例肾移植手术。在这些移植手术总数中,我们分析了上尿路瘘的发生率,在我们的系列研究中为3.3%。按照针对这些患者的涉及多个参数的研究方案,我们得出结论,在我们的系列研究中,上尿路瘘出现较早(移植后少于45天),且与急性排斥反应发作(高剂量类固醇)有关。根据解剖病理学标准,我们确定其治疗必须采用手术方法,并且细致的手术摘除技术对其预防至关重要。