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肾移植手术结果(62例)(作者译)

[Surgical results of renal transplantation (62 cases) (author's transl)].

作者信息

Valentin F, Boissieras P, Plagnol P, Aparicio M, Potaux L

出版信息

J Urol Nephrol (Paris). 1976 Jan-Feb;82(1-2):57-72.

PMID:787550
Abstract

Over a period of 16 months, 62 renal transplantations were carried out by the same medicosurgical team. The follow-up period being 3 months for the most recent cases, 57 patients are still alive and 44 grafts are functional. No surgical complication was the cause of loss of a graft and even less so that of a transplanted patient. Reestablishment of urinary continuity was carried out by ureteroneosystostomy and no fistula or ureteral stenosis was noted. Only 5 vesical fistulae were related to this technique but they healed with no problem. Parietal infectious complications (32%) were much more preoccupying, and frequently the very cause of the majority of urinary complications. Finally vascular stenosis, found in a little more than 6 p. 100 of cases only lead to surgical restoration on one occasion. These different results are compared with those of other teams published today.

摘要

在16个月的时间里,同一医疗外科团队进行了62例肾移植手术。由于最近病例的随访期为3个月,57名患者仍然存活,44个移植肾仍有功能。没有手术并发症导致移植肾丧失,更没有导致移植患者死亡。通过输尿管膀胱吻合术重建尿路连续性,未发现瘘管或输尿管狭窄。仅有5例膀胱瘘与该技术有关,但均顺利愈合。壁层感染并发症(32%)更令人担忧,且常常是大多数泌尿系统并发症的直接原因。最后,血管狭窄仅在略高于6%的病例中出现,仅1例需要手术修复。将这些不同的结果与当今其他团队公布的结果进行了比较。

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