Pettersson S, Brynger H, Henriksson C, Johansson S, Nilson A E, Ranch T
J Urol. 1983 Aug;130(2):234-9. doi: 10.1016/s0022-5347(17)51080-0.
A total of 4 patients with persistent outflow obstruction after pyeloplasty for hydronephrosis was reoperated with renal autotransplantation and pyelocystostomy. All 4 patients had undergone an unsuccessful Anderson-Hynes pyeloplasty and 2 also had had a second operation. All patients had relief of pain, normalization of urine outflow and improved renal function during an observation of 27 to 37 months. Occasional asymptomatic bacteriuria occurred in 2 patients. Thus, renal autotransplantation and pyelocystostomy may be considered a useful and safe method to eliminate persistent outflow obstruction after unsuccessful pyeloplasty.
共有4例肾盂积水患者在肾盂成形术后出现持续性流出道梗阻,接受了自体肾移植和肾盂膀胱吻合术再次手术。所有4例患者均接受安德森-海因斯肾盂成形术但未成功,其中2例还接受了第二次手术。在27至37个月的观察期内,所有患者的疼痛均得到缓解,尿液流出恢复正常,肾功能得到改善。2例患者偶尔出现无症状菌尿。因此,自体肾移植和肾盂膀胱吻合术可被视为一种有用且安全的方法,用于消除肾盂成形术失败后持续存在的流出道梗阻。