Campobasso P, Biscuola G, Cappellari F, Belloli G
Divisione di Chirurgia Pediatrica, Sezione di Urologia, Ospedale Regionale di Vicenza, Italia.
Pediatr Med Chir. 1989 Mar-Apr;11(2):149-53.
Transureteroureterostomy is a method of internal urinary diversion available to maintain the integrity of the urinary system, when the lower ureter is compromised. The usual requirements are a donor kidney with a minimal renal function on one side and a normal contralateral recipient kidney and ureter. From January 1972 to October 1988 in our Division transureteroureterostomy has been done in 52 children. In some cases the procedure was used simultaneously with reimplantation or cutaneous ureterostomy. The majority of patients had been referred with previous failed ureteral reimplantation or with unilateral reflux or ureteral obstruction in neurogenic bladder with small capacity and compliance. Results (14 years to 6 months follow-up) are very good with excellent results for both kidneys in 98% of the cases. Our experience and that of other authors confirm that transureteroureterostomy is a technique simple with low morbidity and excellent results.
输尿管-输尿管吻合术是一种在输尿管下段受损时可用于维持泌尿系统完整性的体内尿液改道方法。通常的要求是一侧有肾功能最低限度的供肾，对侧有正常的受肾及输尿管。1972年1月至1988年10月，我们科室对52例儿童施行了输尿管-输尿管吻合术。在某些病例中，该手术与输尿管再植术或皮肤输尿管造口术同时进行。大多数患者之前因输尿管再植术失败、单侧反流或神经源性膀胱伴小容量和低顺应性的输尿管梗阻前来就诊。（随访14年至6个月）结果非常好，98%的病例双肾效果极佳。我们的经验以及其他作者的经验证实，输尿管-输尿管吻合术是一种技术简单、发病率低且效果极佳的手术。
