Halbfass H J, Wilms H
Chirurg. 1977 Nov;48(11):723-7.
The treatment of strictures and fistulas at the lower ureter after kidney transplantation was simple and could be achieved by reimplantation into the bladder. Proximal urinary fistulas caused early abdominal symptoms. The i.v. urogram showed a dilated renal pelvis without drainage into the ureter. The anatomical findings were in all cases strictures or total obstruction of the ureter beneath the pelvic junction and a rupture of the renal pelvis or calix. Adequate therapy consisted of ureteroureterostomy with the recipient ureter and nephrostomy splintage.
肾移植后下段输尿管狭窄和瘘管的治疗简单,可通过重新植入膀胱来实现。近端尿瘘会引起早期腹部症状。静脉肾盂造影显示肾盂扩张,无尿液排入输尿管。所有病例的解剖学表现均为盆腔交界处下方输尿管狭窄或完全梗阻,以及肾盂或肾盏破裂。充分的治疗包括将受体输尿管进行输尿管输尿管吻合术和肾造瘘术固定。