Sollinger H W, Messing E M, Eckhoff D E, Pirsch J D, D'Alessandro A M, Kalayoglu M, Knechtle S J, Hickey D, Belzer F O
Department of Surgery, University of Wisconsin School of Medicine, Madison.
Ann Surg. 1993 Oct;218(4):561-8; discussion 568-70. doi: 10.1097/00000658-199310000-00016.
The urological complications of 210 patients who underwent simultaneous pancreas-kidney (SPK) transplantation over a 7-year period were reviewed.
Worldwide, bladder drainage has become the accepted method of exocrine drainage after pancreas transplantation. With the increasing use of bladder drainage, the surgical post-transplant complications have shifted from intra-abdominal complications to urological complications.
Two hundred ten diabetic patients received SPK transplants with bladder drainage. A retrospective review was conducted to analyze the incidence, type, and management of urological complications.
The most frequent urological complications were hematuria, leak from the duodenal segment, recurrent urinary tract infections, urethritis, and ureteral stricture and disruption. Complications related to the renal transplant included ureteral stricture and leaks, as well as lymphoceles.
Despite the high incidence of urological complications, 5-year actuarial patient and graft survival are excellent. Only one graft and one patient were lost secondary to urological complications.
回顾210例在7年期间接受同期胰肾联合移植（SPK）患者的泌尿系统并发症。
在全球范围内，膀胱引流已成为胰腺移植后外分泌引流的公认方法。随着膀胱引流使用的增加，移植术后的手术并发症已从腹腔内并发症转向泌尿系统并发症。
210例糖尿病患者接受了膀胱引流的SPK移植。进行回顾性分析以分析泌尿系统并发症的发生率、类型和处理方法。
最常见的泌尿系统并发症是血尿、十二指肠段漏、复发性尿路感染、尿道炎以及输尿管狭窄和断裂。与肾移植相关的并发症包括输尿管狭窄和漏，以及淋巴囊肿。
尽管泌尿系统并发症发生率很高，但患者和移植物的5年预期精算生存率良好。仅1例移植物和1例患者因泌尿系统并发症而丢失。
