肾移植中输尿管膀胱外吻合术的更多经验。

Further experience with an external ureterovesical anastomosis in renal transplantation.

作者信息

Meech P R, Hardie I R, Hartley L C, Strong R W, Woodruff P W, Hirst G H, Clunie G J

出版信息

Aust N Z J Surg. 1979 Dec;49(6):629-33. doi: 10.1111/j.1445-2197.1979.tb06476.x.

DOI:10.1111/j.1445-2197.1979.tb06476.x

Abstract

Review of the results of the use of an external ureterovesical anastomosis in 266 renal transplantations showed that urinary fistulae occurred in 34 patients (12.8%), and ureteric obstruction in six (2.3%). The fistulae were due to technical failure of the anastomosis in 13 patients, to distal ureteric necrosis in 13, to total ureteric necrosis in six, and to other causes in two. Fistula management was successful in 26 cases (76.5%), but multiple operations were often necessary and wound complications frequent (41.2%). The continuing high incidence of urological complications following ureterovesical anastomosis has resulted in increasing use of ureteroneocystostomy as the primary form of urinary reconstruction after transplantation in this unit.

摘要

对266例肾移植中采用输尿管膀胱外吻合术的结果进行回顾显示，34例患者（12.8%）出现尿瘘，6例（2.3%）出现输尿管梗阻。13例患者的尿瘘是由于吻合术的技术失败，13例是由于输尿管远端坏死，6例是由于输尿管完全坏死，2例是由于其他原因。26例（76.5%）尿瘘处理成功，但往往需要多次手术，且伤口并发症频繁（41.2%）。输尿管膀胱吻合术后泌尿系统并发症的持续高发生率导致本单位越来越多地采用输尿管膀胱新造口术作为移植后尿路重建的主要形式。