Mitterdorfer A J, Williams G, Castro J E
Br J Urol. 1981 Apr;53(2):111-4. doi: 10.1111/j.1464-410x.1981.tb03146.x.
We have used a simple method of ureteroneocystostomy in renal transplant patients. This entails a no-tunnel "drop-in" with a long free segment protruding into the bladder lumen. The incidence of vesicoureteric reflux was investigated in 81 transplant patients who had a follow-up period ranging from 4 months to 15 years (mean 3.7 years); 29 of these patients had recurrent urinary tract infections. Micturating cystography demonstrated reflux in 6 patients (7.4%). In these 6 patients the presence of reflux had no deleterious effect on renal function and the infections were easily controlled with long-term antibiotics. In the 52 patients without injury infection no reflux was demonstrated. The conclusions based on this study indicate that (1) in the absence of recurrent infection there are no indications for micturating cystography and (2) this method of ureteroneocystostomy is expedient and has a low incidence of reflux.
我们在肾移植患者中采用了一种简单的输尿管膀胱吻合术方法。这需要进行无隧道“插入式”操作，使一段较长的游离段突出到膀胱腔内。对81例肾移植患者进行了膀胱输尿管反流发生率的调查，这些患者的随访期为4个月至15年（平均3.7年）；其中29例患者有复发性尿路感染。排尿膀胱造影显示6例患者（7.4%）存在反流。在这6例患者中，反流的存在对肾功能没有有害影响，并且通过长期使用抗生素，感染很容易得到控制。在52例无感染的患者中，未显示有反流。基于这项研究得出的结论表明：（1）在没有复发性感染的情况下，没有进行排尿膀胱造影的指征；（2）这种输尿管膀胱吻合术方法简便，反流发生率低。
