Hagmaier V, Heberer M, Leibundgut B, Ferstl A, Buser S, Schoenenberger G A, Rutishauser G
Helv Chir Acta. 1979 Aug;46(3):351-5.
In 29 patients with nephroptosis two different methods of nephropexy were compared; nephropexy using sutures passing through the parenchyma (n = 16) and nephropexy using tissue adhesives (n = 13). The first group was mobilized 3.5 days after operation, whereas the second group was mobilized one day after operation. On later follow-up 79% of the patients had no or minor complaints. Those patients who had the same disturbances as preoperatively had all been treated by nephropexy using sutures passing through the parenchyma. In 56% of this group radiological recurrence was seen, whereas in the group using tissue adhesives there was only 8% radiological recurrence. We think therefore that the nephroxepy using tissue adhesive is the simplest and least traumatic method.
对29例肾下垂患者比较了两种不同的肾固定方法；采用穿过肾实质的缝线进行肾固定（n = 16）和采用组织粘合剂进行肾固定（n = 13）。第一组术后3.5天开始活动，而第二组术后1天开始活动。在随后的随访中，79%的患者无或仅有轻微不适。那些仍有术前相同不适症状的患者均接受了采用穿过肾实质的缝线进行的肾固定治疗。该组中56%出现影像学复发，而采用组织粘合剂的组中仅有8%出现影像学复发。因此我们认为采用组织粘合剂进行肾固定是最简单且创伤最小的方法。
