Derevianko I M, Derevianko T I
Urol Nefrol (Mosk). 1995 Jan-Feb(1):6-10.
The surgery is made to save both halves of the double kidney in mechanic obstruction or vesicoureteral reflux in the accessory or basic ureter. The affected ureter is always removed under anastomosis. The interventions are indicated in anomalies causing ureteral obstruction, ureterohydronephrosis, vesicoureteral reflux, pyelonephritis. They are frequently performed in ectopic ureterocele of the accessory ureter, in vesicoureteral reflux associated with intravesical high ectopy of the basic ureter ostium and normal ostium of the accessory ureter, in low intra- and extravesical ectopy of the accessory ureter ostium. The authors have conducted 21 operations in 20 patients: bilateral transureteroureteral, 2 intrapelvic, 1 ureteropelvic and 18 transureteroureteral anastomoses. The surgery was decided upon because of ectopic ureterocele of the accessory ureter, ectopic ureterocele of the accessory ureter with vesicoureteral reflux via ureterocele, high ectopy of the basic and low ectopy of the accessory ureter ostia with reflux, low ectopy of the accessory ureters ostia. Short- and long-term outcomes of all the operations were good.
该手术旨在挽救因副输尿管或主输尿管机械性梗阻或膀胱输尿管反流而受损的双肾的两半。在吻合术的同时总是切除受影响的输尿管。这些干预措施适用于导致输尿管梗阻、输尿管肾盂积水、膀胱输尿管反流、肾盂肾炎的异常情况。它们经常用于副输尿管的异位输尿管囊肿、与主输尿管口膀胱内高位异位和副输尿管正常开口相关的膀胱输尿管反流、副输尿管口膀胱内和膀胱外低位异位。作者对20例患者进行了21次手术：双侧输尿管输尿管吻合术2例、盆腔内吻合术2例、输尿管肾盂吻合术1例、输尿管输尿管吻合术18例。手术的决定是由于副输尿管的异位输尿管囊肿、经输尿管囊肿伴有膀胱输尿管反流的副输尿管异位输尿管囊肿、主输尿管口高位异位和副输尿管口低位异位伴有反流、副输尿管口低位异位。所有手术的短期和长期结果均良好。
