Vatandaslar F, Reid R E, Freed S Z, Smey P, Kogan S J, Goldsmith D, Bernstein R, Levitt S B
Urology. 1984 Jun;23(6):549-58. doi: 10.1016/0090-4295(84)90069-4.
Unilateral partial ureteral obstruction was induced in 32 dogs followed by total ileal replacement of the obstructed ureter. The morphologic and functional effects on the kidney using a freely refluxing versus a nonrefluxing ileovesical anastomosis were compared, as well as the effect of total tapering of the reimplanted ileal segment. The tapered ileovesical anastomosis proved more reliable for prevention of reflux than the nontapered technique. Reflux prevention does not appear necessary for maintaining renal morphology and function when bladder function is normal and the observation period short. Total tapering of the ileal segment did not prove to be advantageous in protecting against hyperchloremic acidosis in this short-term canine study.
在32只犬中诱发单侧部分输尿管梗阻，随后用全回肠替代梗阻的输尿管。比较了使用自由反流性与非反流性回肠膀胱吻合术对肾脏的形态学和功能影响，以及再植回肠段完全变细的影响。结果证明，锥形回肠膀胱吻合术在预防反流方面比非锥形技术更可靠。当膀胱功能正常且观察期较短时，预防反流似乎对维持肾脏形态和功能并非必要。在这项短期犬类研究中，回肠段完全变细在预防高氯性酸中毒方面并未显示出优势。
