Firlit C F
J Urol. 1976 Nov;116(5):634-7. doi: 10.1016/s0022-5347(17)58942-9.
Congenital urinary tract anomalies are common causes of renal insufficiency and failure in children. Frequently, the hydroureteronephrosis and/or bladder damage from previous reconstructive procedures is so severe that supravesical diversion is required. Renal transplantation in these cases is sometimes avoided because of implied urologic and infectious complications, and the early loss of the homograft. Nevertheless, newer techniques have been developed for transplantation in patients with end stage renal disease and defunctionalized bladders. Herein is described the use of defunctionalized bladders as receptors of renal homografts in 5 of 42 transplant recipients seen during the last 4 years.
先天性泌尿系统异常是儿童肾功能不全和肾衰竭的常见原因。通常，既往重建手术导致的输尿管积水和肾积水及/或膀胱损伤非常严重，需要进行膀胱上引流。由于存在潜在的泌尿系统和感染并发症以及同种异体移植早期丢失，这些病例有时会避免进行肾移植。然而，已经开发出了用于终末期肾病和失功能膀胱患者移植的新技术。本文描述了在过去4年中42例移植受者中的5例使用失功能膀胱作为肾同种异体移植受体的情况。
