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肾移植受者膀胱内与膀胱外输尿管膀胱吻合术的试验

Trial of intravesical versus extravesical ureteroneocystostomy in renal transplant recipients.

作者信息

Jindal R M, Carpinito G, Bernard D, Schmitt G, Idelson B, Joshi P, Hakaim A, Cho S I

机构信息

Transplant Services, Boston University Medical Center, MA.

出版信息

Clin Transplant. 1994 Aug;8(4):396-8.

PMID:7949546
Abstract

We carried out a trial to evaluate the complication rate of intravesical (LP) versus extravesical (Lich) ureteroneocystostomy in recipients of renal transplantation. Ureteric stenosis was the predominant complication in the LP technique, which was more difficult to correct. Complications by the Lich technique were urinary leaks, which were managed successfully by prolonged bladder drainage. We conclude that the Lich technique is simpler to perform and avoids the complication of ureteric stenosis, and should therefore be the procedure of choice for ureteric implantation in recipients of renal transplants.

摘要

我们进行了一项试验,以评估肾移植受者膀胱内(LP)与膀胱外(Lich)输尿管膀胱吻合术的并发症发生率。输尿管狭窄是LP技术中的主要并发症,且更难纠正。Lich技术的并发症是尿漏,通过延长膀胱引流可成功处理。我们得出结论,Lich技术操作更简单,可避免输尿管狭窄并发症,因此应成为肾移植受者输尿管植入的首选术式。

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Int Urol Nephrol. 2004;36(2):245-7. doi: 10.1023/b:urol.0000034654.26422.f7.