部分皮瓣输尿管膀胱吻合术治疗血吸虫病所致下输尿管狭窄

Partial flap ureteroneocystostomy for bilharzial strictures of lower ureter.

作者信息

Bazeed M A, Ashamalla A, Abd-Alrazek A A, Ghoneim M, Badr M

出版信息

Urology. 1982 Sep;20(3):237-41. doi: 10.1016/0090-4295(82)90629-x.

Abstract

Partial flap ureteroneocystostomy was applied for the management of bilharzial strictures of the lower ureter for 30 ureters (24 patients). Follow-up excretory urography (IVP) showed improvement or stabilization in 83.3 per cent of renoureteral units. Creatinine clearance improved or remained stable in 79 per cent of cases. Postoperative reflux occurred in 30 per cent of renoureteral units. We recommend partial flap ureteroneocystostomy for the management of bilharzial strictures if submucosal tunnel ureteroneocystostomy is not applicable.

摘要

对30条输尿管（24例患者）采用部分瓣状输尿管膀胱吻合术治疗晚期血吸虫病性输尿管狭窄。随访排泄性尿路造影（IVP）显示，83.3%的肾输尿管单位情况改善或稳定。79%的病例肌酐清除率提高或保持稳定。30%的肾输尿管单位出现术后反流。如果不适用黏膜下隧道输尿管膀胱吻合术，我们建议采用部分瓣状输尿管膀胱吻合术治疗血吸虫病性狭窄。