Hagen-Cook K, Althausen A F
J Urol. 1979 Jan;121(1):13-6. doi: 10.1016/s0022-5347(17)56642-2.
A colonic segment with tunneled ureterocolic anastomoses was used for non-refluxing urinary diversion in 31 adults during the last 3 1/2 years. Half of the patients had undergone diversions previously. These pre-existing diversions had been associated with significant urologic complications. The remainder of the patients had a variety of benign and malignant diseases. After the non-refluxing colonic diversion all upper tracts remained stable or improved except in 3 patients in whom 4 ureterocolic anastomoses developed silent stenosis. Of 10 patients who had pre-existing refluxing diversion and episodic acute pyelonephritis 7 had no recurrences. No patient with sterile urine became infected and 18 of 24 patients with persistently infected urine improved. The anatomic versatility of the colon that allows the benefits of a low pressure system and unidirectional urine flow makes the non-refluxing colon conduit an advantageous alternative in adults requiring urinary diversion.
在过去3年半的时间里，31名成年人采用带有隧道式输尿管结肠吻合术的结肠段进行抗反流尿流改道。一半的患者之前已经接受过尿流改道。这些既往的尿流改道与严重的泌尿系统并发症相关。其余患者患有各种良性和恶性疾病。在进行抗反流结肠尿流改道后，除3例患者的4个输尿管结肠吻合口出现无症状狭窄外，所有上尿路均保持稳定或有所改善。在10例既往有反流性尿流改道和发作性急性肾盂肾炎的患者中，7例未复发。无菌尿患者无感染发生，24例持续感染尿患者中有18例病情改善。结肠的解剖学多功能性使其具有低压系统和单向尿流的优点，这使得抗反流结肠导管成为需要尿流改道的成年人的一种有利选择。
