Witherington R, Mims W W
Am Surg. 1977 May;43(5):320-9.
One hundred patients underwent ileal loop diversion using the Pyrah technique between 1959 and 1975. Sixty-seven were performed because of benign urinary tract lesions and 33 were performed as part of planned treatment of various malignant conditions. Neurogenic bladder dysfunction accounted for 56 of these diversions. There were 67 early and 69 late complications. Patients having preoperative irradiation therapy had a much higher incidence of complications. An alarming 19 per cent demonstrated progressive deterioration of the upper tracts following diversion. It is noteworthy that this rate of upper tract deterioration compares favorably with that reported in several other series. Early mortality was 6 per cent, and death occurred four times more often in patients with malignant conditions.
1959年至1975年间，100例患者采用皮拉赫技术进行了回肠袢转流术。其中67例因良性泌尿道病变施行该手术，33例作为各种恶性疾病计划治疗的一部分。神经源性膀胱功能障碍占这些转流术的56例。有67例早期并发症和69例晚期并发症。术前接受放射治疗的患者并发症发生率要高得多。令人担忧的是，19%的患者在转流术后出现上尿路进行性恶化。值得注意的是，这种上尿路恶化率与其他几个系列报道的情况相比要好。早期死亡率为6%，恶性疾病患者的死亡发生率高出四倍。
