用于扩张上尿路改道的抗反流结肠管道。

Anti-refluxing colon conduits for diversion of dilated upper urinary tracts.

作者信息

Kaswick J A, Gottesman J E, Walsman J, Skinner D G

出版信息

J Pediatr Surg. 1978 Oct;13(6):532-3. doi: 10.1016/s0022-3468(78)80323-6.

Abstract

Ureteral tailoring and colonic conduit urinary diversion were performed in 10 dogs. 2 wk to 2 mo after ureteral ligation. Two to five months after urinary diversion, radiography and postmortem examination revealed reflux in only 11% of the ureters and no evidence of obstruction at the ureterocolonic anastomosis. Pyelonephritis was observed in a lower percentage of animals so diverted, as compared to control kidneys diverted by means of ileoconduits. These results support the use of anti-refluxing colonic conduits for diversion of dilated upper urinary tracts.

摘要

对10只狗进行了输尿管剪裁和结肠导管尿流改道术。输尿管结扎后2周至2个月。尿流改道后2至5个月，影像学检查和尸检显示，仅11%的输尿管存在反流，输尿管结肠吻合处无梗阻迹象。与通过回肠导管进行尿流改道的对照肾脏相比，接受这种尿流改道的动物肾盂肾炎的发生率较低。这些结果支持使用抗反流结肠导管对上尿路扩张进行尿流改道。