Tveter K J, Bloom D A, Goodwin W E
Eur Urol. 1980;6(6):321-7. doi: 10.1159/000473365.
Use of the ileum as a substitute for the ureter should be taken into consideration when urinary tract continuity cannot be restored by using urinary tract tissue. Another important indication for this procedure is recurrent renal calculi, to permit the free passage of stones. It is essential to reserve this operation for those patients whose renal function is relatively adequate. Chronic renal insufficiency with a serum creatinine level above 2.0--2.2 mg% is a contraindication for the operation. Another prerequisite for the operation is that the patient is able to empty his bladder; otherwise deterioration of renal kidney function may occur. The present article gives a review on the ileal ureter, with emphasis on the indications and operative technique.
当无法使用尿路组织恢复尿路连续性时，应考虑使用回肠替代输尿管。该手术的另一个重要指征是复发性肾结石，以便结石能自由通过。必须将此手术保留给那些肾功能相对良好的患者。血清肌酐水平高于2.0 - 2.2mg%的慢性肾功能不全是该手术的禁忌症。该手术的另一个前提条件是患者能够排空膀胱；否则可能会发生肾功能恶化。本文对回肠代输尿管进行了综述，重点介绍了其适应症和手术技术。
