Melchior H, Lutzeyer W
Eur Urol. 1975;1(5):216-26.
The importance of the urodynamic characteristics of the ureter are considered after plastic and reconstructive operations. Choice of the most suitable method is as important as good operative technique. The partial replacement of the lower end of the ureter by a bladder flap shows good results. Different types of bladder flap procedures do not influence the dynamics of the ureter as its continuity is preserved. Irrespective of the material used, failures of autoplastic or alloplastic segmental replacement are due to the lack of functional adaptation of the prostheses. By partial replacement good results may be obtained if vesico-ureteral reflux is avoided.
在进行整形和重建手术后，输尿管尿动力学特征的重要性会被考虑。选择最合适的方法与良好的手术技术同样重要。用膀胱瓣部分替代输尿管下端显示出良好的效果。不同类型的膀胱瓣手术不会影响输尿管的动力学，因为其连续性得以保留。无论使用何种材料，自体移植或异体移植节段性替代的失败都是由于假体缺乏功能适应性。如果避免膀胱输尿管反流，通过部分替代可能会取得良好的效果。
