重复肾系统中巨输尿管的外科治疗：输尿管缩窄和共同鞘再植术的疗效

The surgical management of megaureters in duplex systems: the efficacy of ureteral tapering and common sheath reimplantation.

作者信息

Weinstein A J, Bauer S B, Retik A B, Mandell J, Colodny A H

机构信息

Department of Surgery, Children's Hospital, Boston, Massachusetts.

出版信息

J Urol. 1988 Feb;139(2):328-31. doi: 10.1016/s0022-5347(17)42401-3.

DOI:10.1016/s0022-5347(17)42401-3

PMID:3339733

Abstract

We describe 6 children with renal duplication associated with megaureter(s) who underwent ureteral tapering and common sheath reimplantation. Of the patients 4 had complete duplication with reflux into 1 or both ureters and 2 had incomplete duplication with a short distal segment that was obstructed at the ureterovesical junction. All obstructed or refluxing ureteral segments were dilated to a degree that tapering was required at the time of common sheath reimplantation. Megaureter repair in the presence of a duplicate collecting system proved to be safe and reliable.

摘要

我们描述了6例患有重复肾合并巨输尿管的儿童，他们接受了输尿管缩窄和共同鞘管再植术。其中4例患者为完全性重复肾，1条或2条输尿管均有反流，2例为不完全性重复肾，远端短节段在输尿管膀胱连接处梗阻。所有梗阻或反流的输尿管段均有不同程度扩张，因此在进行共同鞘管再植术时需要进行缩窄。事实证明，在存在重复集合系统的情况下进行巨输尿管修复是安全可靠的。