Hendren W H
J Urol. 1978 May;119(5):652-60. doi: 10.1016/s0022-5347(17)57581-3.
Many children with severe urologic problems have been treated by urinary diversions, often after unsuccessful operations to correct the original pathology. Urinary diversion should be avoided when possible, since often it is accompanied by chronic infection and quality of life is less good than it could be. Most diversions can be prevented by use of other alternatives including 1) reimplanting 1 ureter and transureteroureterostomy of the other, 2) psoas hitch, 3) wide mobilization and downward displacement of the kidney and ureter, 4) use of bowel as ureter, 5) cecal cystoplasty and 6) early repair of complex pathology. Autotransplantation is probably seldom indicated in childhood.
许多患有严重泌尿系统问题的儿童都接受了尿流改道术治疗，通常是在矫正原发病理的手术失败之后。应尽可能避免进行尿流改道术，因为它常常伴有慢性感染，而且生活质量不如原本可以达到的那样好。大多数尿流改道术可以通过其他替代方法来避免，这些方法包括：1）将1条输尿管重新植入并对另一条输尿管进行输尿管-输尿管吻合术；2）腰大肌固定术；3）肾脏和输尿管的广泛游离及向下移位；4）用肠道作为输尿管；5）盲肠膀胱扩大术；6）早期修复复杂病理情况。自体肾移植术在儿童时期可能很少适用。
