Aboutaieb R, Rabii R, Joual A, el Mrini M, Benjelloun S
Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc.
Ann Urol (Paris). 1996;30(5):240-3.
Various techniques of ureteral reimplantation have been described for different indications. After a retrospective study concerning 109 cases and 178 ureteral reimplantations, the authors propose the selective indications for each technique noting the most important results. The indications for reimplantations are numerous and varied: enterocystoplasty (60 cases), iatrogenic lesion of the pelvic ureter (11 cases), inflammatory stenosis (13 cases), renal transplantation (20 cases), primary megaureter (4 cases), stenosis of reimplantation (2 cases). 5 techniques were used in this study: Leduc-Camey, Leadbetter-Politano, Direct, Manchette, Lich-Gregoir. We conclude that in ureterodigestive reimplantation, Leduc-Camey modified method is indicated. In renal transplantation, Lich-Gregoir is the ideal technique. In primary megaureter, the Leadbetter-Politano procedure possibly with ureter modelling improves the results. In iatrogenic lesions of the pelvic ureter, Leadbetter-Politano technique and possibly a hitch-bladder gives a good result.
针对不同适应证，已描述了多种输尿管再植技术。在一项涉及109例病例和178次输尿管再植的回顾性研究后，作者提出了每种技术的选择性适应证，并指出了最重要的结果。再植的适应证众多且各异：肠道膀胱扩大术（60例）、盆腔段输尿管医源性损伤（11例）、炎性狭窄（13例）、肾移植（20例）、原发性巨输尿管（4例）、再植处狭窄（2例）。本研究使用了5种技术：勒迪克 - 卡米（Leduc - Camey）法、利德贝特 - 波利塔诺（Leadbetter - Politano）法、直接法、袖套法、利奇 - 格雷瓜尔（Lich - Gregoir）法。我们得出结论，在输尿管消化道再植中，应采用改良的勒迪克 - 卡米法。在肾移植中，利奇 - 格雷瓜尔法是理想的技术。在原发性巨输尿管中，可能采用输尿管塑形的利德贝特 - 波利塔诺手术可改善效果。在盆腔段输尿管医源性损伤中，利德贝特 - 波利塔诺技术以及可能的膀胱固定术可取得良好效果。
