Al-Shukri S, Alwan M H
Br J Urol. 1983 Oct;55(5):477-82. doi: 10.1111/j.1464-410x.1983.tb03352.x.
In a series of 329 patients with urinary bilharziasis, 560 strictures occurred in the lower third of the ureter. Bilateral ureteric involvement was seen in 231 patients (70.2%). Two hundred and fifty-two strictures (45%) were juxtavesical, 210 (37.5%) intramural, 50 (8.9%) were combined juxtavesical and intramural, 43 (7.7%) were pelvic and 5 (0.9%) were ureteric meatal strictures. The main operative procedures were pull-through ureteroneocystostomy (47.1%), ureteric reimplantation into the dome of the bladder (28.8%) and nipple ureteroneocystostomy (20.3%). Post-operative complications occurred in 17 patients (5.2%) and the operative mortality was nil. It is concluded that the best results are achieved through selection of the appropriate operative procedure and prevention of reinfestation.
在一组329例泌尿生殖系统血吸虫病患者中，输尿管下段出现了560处狭窄。231例患者（70.2%）出现双侧输尿管受累。252处狭窄（45%）位于膀胱旁，210处（37.5%）位于壁内，50处（8.9%）为膀胱旁和壁内联合狭窄，43处（7.7%）位于盆腔，5处（0.9%）为输尿管口狭窄。主要手术方式为输尿管膀胱再植术（47.1%）、输尿管膀胱顶部再植术（28.8%）和乳头状输尿管膀胱再植术（20.3%）。17例患者（5.2%）出现术后并发症，手术死亡率为零。结论是，通过选择合适的手术方式和预防再次感染可取得最佳效果。
