Landau R, Botha J R, Myburgh J A
Br J Urol. 1986 Feb;58(1):6-11. doi: 10.1111/j.1464-410x.1986.tb05417.x.
A retrospective comparison of pyeloureterostomy and external ureteroneocystostomy as methods of reconstructing the urinary tract in 128 renal transplants is presented. There was one urological complication in 52 pyeloureterostomies (1.9%) compared with 4 in the 76 ureteroneocystostomies (5.3%). 6/0 Polydioxanone (PDS) is preferred to Prolene for the anastomosis because of possible calculus formation on the latter. Wound sepsis is commoner in pyeloureterostomies undergoing concomitant nephrectomy, despite prophylactic antibiotics, though this is not statistically significant and the overall sepsis rate is higher for ureteroneocystostomy. Nephrectomy was avoided in 17 selected cases by simply ligating the recipient ureter where the pre-transplant urine output was low. Two of these patients developed hydronephrosis in the isolated kidney and required later nephrectomy.
本文对128例肾移植中肾盂输尿管吻合术和输尿管膀胱再植术这两种尿路重建方法进行了回顾性比较。52例肾盂输尿管吻合术中有1例泌尿系统并发症（1.9%），而76例输尿管膀胱再植术中则有4例（5.3%）。由于使用普理灵可能形成结石，因此在吻合术中6/0聚二氧六环酮（PDS）比普理灵更受青睐。尽管使用了预防性抗生素，但在同期进行肾切除术的肾盂输尿管吻合术中伤口感染更为常见，不过这在统计学上并无显著差异，且输尿管膀胱再植术的总体感染率更高。在17例选定病例中，由于移植前尿量少，仅结扎受体输尿管从而避免了肾切除术。其中2例患者孤立肾出现肾积水，随后需要进行肾切除术。
