Pardalidis N P, Waltzer W C, Tellis V A, Jarrett T W, Smith A D
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, NY.
J Endourol. 1994 Oct;8(5):321-7. doi: 10.1089/end.1994.8.321.
Because of the altered anatomy, the presence of immunosuppression, the possibility of graft rejection, and the serious implications of a problem involving a solitary kidney, the transplanted kidney presents unique challenges in the diagnosis and treatment of urologic complications. Historically, the mortality rate in these patients has been as high as 68%, and as many as 15% of the allografts have been lost. Today, endourologic procedures are used for prompt diagnosis, temporization, and even definitive management of many urologic complications, and many patients and allografts are being saved. The authors review present techniques and suggest others that may be available in the future.
由于解剖结构改变、免疫抑制的存在、移植肾排斥的可能性以及涉及单肾问题的严重影响,移植肾在泌尿外科并发症的诊断和治疗中面临着独特的挑战。从历史上看,这些患者的死亡率高达68%,多达15%的同种异体移植肾丢失。如今,腔内泌尿外科手术被用于许多泌尿外科并发症的快速诊断、临时处理甚至确定性治疗,许多患者和移植肾得以挽救。作者回顾了目前的技术,并提出了一些未来可能可用的技术。