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肾移植中的输尿管-新膀胱吻合术。抗反流机制是必需的吗?

Uretero-neo-cystostomy in renal transplantation. Is an antireflux mechanism mandatory?

作者信息

Debruyne F M, Wijdeveld P G, Koene R A, Chafik M L, Moonen W A, Renders G A

出版信息

Br J Urol. 1978 Oct;50(6):378-82. doi: 10.1111/j.1464-410x.1978.tb04214.x.

DOI:10.1111/j.1464-410x.1978.tb04214.x
PMID:361147
Abstract

We report a retrospective analysis of 120 kidney transplantations in which a simple end-to-end ureteric implantation in the bladder without antireflux mechanism was made. From this study no greater incidence of vesico-ureteric reflux could be demonstrated and, even when present, reflux neither interfered with graft function nor caused an increased incidence of recurrent urinary tract infections. The incidence of other urological complications (leakage, obstruction) being equal, this very simple technique yielded in our hands the best results and we recommend its use in kidney transplantation.

摘要

我们报告了一项对120例肾移植的回顾性分析,这些肾移植采用了在膀胱中进行简单的输尿管端端植入且无抗反流机制的方法。从这项研究中,未发现膀胱输尿管反流的发生率更高,并且即使存在反流,反流既不影响移植肾功能,也不会导致复发性尿路感染的发生率增加。在其他泌尿系统并发症(渗漏、梗阻)发生率相同的情况下,这项非常简单的技术在我们手中取得了最佳效果,我们建议在肾移植中使用该技术。

相似文献

1
Uretero-neo-cystostomy in renal transplantation. Is an antireflux mechanism mandatory?肾移植中的输尿管-新膀胱吻合术。抗反流机制是必需的吗?
Br J Urol. 1978 Oct;50(6):378-82. doi: 10.1111/j.1464-410x.1978.tb04214.x.
2
Vesico-ureteric reflux after renal transplantation.肾移植术后膀胱输尿管反流
Aust N Z J Surg. 1973 Dec;43(3):225-8. doi: 10.1111/j.1445-2197.1973.tb05687.x.
3
[Urologic findings in patients with kidney transplantations. Evaluation of a technic for uretero-cysto-neostomy].
Helv Chir Acta. 1978 Jul;45(3):273-7.
4
Non-antireflux versus antireflux ureteroneocystostomy in adults.成人非抗反流与抗反流输尿管膀胱吻合术
Br J Urol. 1991 Mar;67(3):263-6. doi: 10.1111/j.1464-410x.1991.tb15131.x.
5
Experience with parallel incision extravesical ureteroneocystostomy in renal transplantation.肾移植中平行切口膀胱外输尿管膀胱再植术的经验
J Urol. 1985 Sep;134(3):455-6. doi: 10.1016/s0022-5347(17)47236-3.
6
[Antireflux ureterocystoneostomy with emphasis on a single simultaneous bilateral operation].[抗反流输尿管膀胱吻合术,重点在于单次同时双侧手术]
Med Arh. 1988;42(3):119-24.
7
[Experience with uretero-neocystostomy in 338 kidney transplantations].[338例肾移植术中输尿管-新膀胱吻合术的经验]
Helv Chir Acta. 1991 Sep;58(3):277-80.
8
The ureter in renal transplantation: results of a simple technique of uretero-vesical anastomosis.肾移植中的输尿管:一种简单的输尿管-膀胱吻合技术的结果
Aust N Z J Surg. 1974 Feb;44(1):12-6. doi: 10.1111/j.1445-2197.1974.tb06510.x.
9
The use of a ureteric nipple alone for reflux prevention.单独使用输尿管乳头预防反流。
Br J Urol. 1977 Oct;49(5):375-7. doi: 10.1111/j.1464-410x.1977.tb04158.x.
10
Influence of ureterovesical anastomosis technique on the incidence of vesicoureteral reflux in renal transplant recipients.
Ann Transplant. 1999;4(1):54-8.

引用本文的文献

1
Urological complications of renal transplantation.肾移植的泌尿系统并发症
Br Med J (Clin Res Ed). 1982 Aug 7;285(6339):394-5. doi: 10.1136/bmj.285.6339.394.
2
Experience with pyeloureterostomy in renal transplantation.肾移植中肾盂输尿管吻合术的经验
Ann Surg. 1982 Nov;196(5):588-93. doi: 10.1097/00000658-198211000-00014.