Månsson W, Colleen S, Forsberg L, Larsson I, Sundin T, White T
Scand J Urol Nephrol. 1984;18(4):307-15. doi: 10.3109/00365598409180201.
Total and separate renal function, renal parenchymal thickness and dilatation of the upper urinary tract were studied in 40 patients preoperatively and 24 to 67 months after urinary diversion, using 51Cr-EDTA clearance test, scintillation camera renography and urography. In ten patients a continent caecal reservoir was used for diversion. In the other patients, an ileal or a colonic conduit (15 patients with each method) was used, one ureter being implanted with an anti-reflux method and the other with direct technique. Renal function following urinary diversion showed little or no deterioration in most patients. The functional outcome was not related to the method of diversion or, in the conduit groups, to the mode of ureteral implantation. Serum creatinine tests and urography were not adequate for determining loss of renal function. Radionuclide studies proved to be valuable for assessing renal function after urinary diversion.
采用51Cr - EDTA清除率试验、闪烁照相机肾造影术及尿路造影术，对40例患者术前及尿路改道后24至67个月的总肾功能及分肾功能、肾实质厚度和上尿路扩张情况进行了研究。10例患者采用可控盲肠贮尿囊进行改道。在其他患者中，采用回肠或结肠导管（每种方法各15例患者），一条输尿管采用抗反流方法植入，另一条采用直接技术植入。大多数患者尿路改道后的肾功能几乎没有恶化或没有恶化。功能结果与改道方法无关，在导管组中，也与输尿管植入方式无关。血清肌酐检测和尿路造影术不足以确定肾功能丧失情况。放射性核素研究被证明对评估尿路改道后的肾功能很有价值。
