Hamouda Mouna, Sharma Ajay, Halawa Ahmed
From the Department of Nephrology, Fattouma Bourguiba University Hospital, and the University Faculty of Medicine, Monastir, Tunisia.
Exp Clin Transplant. 2018 Feb;16(1):90-95.
Although they are not common, urologic complications after renal transplant are associated with risk of graft loss. Fluid collection during the postoperative period can be caused by urine leak or lymph leak of seroma. Biochemical analysis of the drained liquid is essential and should be compared with a concomitant serum sample. Surgical exploration is indicated if suspected urine leak is significant. Reimplantation of the ureter to the bladder can be challenging if there is extensive ureteral necrosis due to compromised vascularization.
虽然并不常见,但肾移植后的泌尿系统并发症与移植肾丢失风险相关。术后积液可能由尿漏或血清肿淋巴漏引起。对引流液进行生化分析至关重要,且应与同期血清样本进行比较。如果怀疑存在明显尿漏,则需进行手术探查。如果因血管化受损导致输尿管广泛坏死,将输尿管重新植入膀胱可能具有挑战性。