Streem S B, Novick A C, Steinmuller D R, Musselman P W
J Urol. 1986 Mar;135(3):456-9. doi: 10.1016/s0022-5347(17)45690-4.
Percutaneous techniques were used to manage 13 renal transplant recipients with urological complications and long-term followup now is available. Three patients had urinary fistulas and 10 had ureteral obstruction. In 2 of the patients with ureteral fistulas and 5 with ureteral obstruction the percutaneous procedures provided definitive management and obviated the need for an open operation. In the 6 other patients the percutaneous procedures proved to be valuable adjuncts to subsequent planned open operative reconstruction. While there were 4 significant complications related to the percutaneous procedures, none resulted in graft loss or patient death. We conclude that percutaneous techniques provide valuable alternatives to immediate open operative intervention in renal transplant recipients with ureteral obstruction or fistula formation. Furthermore, these techniques may obviate entirely the need for subsequent operative intervention.
采用经皮技术治疗了13例有泌尿系统并发症的肾移植受者，目前已有长期随访结果。3例患者出现尿瘘，10例出现输尿管梗阻。2例尿瘘患者和5例输尿管梗阻患者经皮手术提供了确定性治疗，避免了开放手术的需要。在另外6例患者中，经皮手术被证明是后续计划的开放手术重建的有价值辅助手段。虽然有4例严重并发症与经皮手术有关，但均未导致移植物丢失或患者死亡。我们得出结论，经皮技术为有输尿管梗阻或瘘形成的肾移植受者提供了替代立即开放手术干预的有价值选择。此外，这些技术可能完全避免后续手术干预的需要。
