Claesson K, Frödin L, Lörelius L E
Ups J Med Sci. 1985;90(2):119-25. doi: 10.3109/03009738509178648.
Ileal conduit urinary diversion was performed with an antireflux technique, with nippling of the ureters into the segment, in 63 patients. The patients were then followed up for 52 +/- 25 months concerning urographic findings, infections and kidney function. Ureteroileal stenosis developed in 3 of 122 ureters and was surgically corrected. Roentgenologic examination for ureteral reflux was performed about a year postoperatively, and pressure measurements were made in the ileal segment. Reflux of contrast medium was seen in 48 ureters at pressure 51 +/- 30 mm Hg. When no reflux was seen, the maximum infusion pressure was 62 +/- 34 mm Hg. The basal pressure (preceding contrast infusion) was 24 +/- 29 mm Hg. Regular contraction waves with pressure rise in the ileal segment were registered, with duration 10-30 seconds. The study showed no connection between ureteral reflux and pressure in the ileal segment. Complications associated with the antireflux operating technique were few.
63例患者采用抗反流技术行回肠代输尿管术，将输尿管乳头样植入肠段。然后对患者进行52±25个月的随访，观察其尿路造影结果、感染情况及肾功能。122条输尿管中有3条发生输尿管回肠狭窄，均接受了手术矫正。术后约1年进行输尿管反流的X线检查，并对回肠段进行压力测量。在压力为51±30 mmHg时，48条输尿管出现造影剂反流。未见反流时，最大灌注压力为62±34 mmHg。基础压力（造影剂注入前）为24±29 mmHg。记录到回肠段有规律的压力上升收缩波，持续时间为10 - 30秒。研究表明，输尿管反流与回肠段压力之间无关联。抗反流手术技术相关的并发症较少。
