Mochalova T P, Starikov I Y
Department of Urology, Russian Research Institute of Phtisiopulmonology, Moscow, Russia.
World J Surg. 1997 Jun;21(5):511-5. doi: 10.1007/pl00012278.
Tuberculosis has continued to be a public health problem around the world. The urogenital tuberculosis clinic in the Russian Scientific Research Institute of Phthisiopulmonology was founded in 1950. The development of reconstruction operations for those with urogenital tuberculosis began in 1960. Since then 4298 patients with urogenital tuberculosis have been treated, and 2364 operations have been performed: 885 to remove an organ, 531 to preserve an organ, and 948 for reconstruction. The cases of extrapulmonary tuberculosis in recent years have increased to 6.0%. Surgery for urogenital tuberculosis is performed after specific medical therapy has been tried, but it is difficult, particularly if it is a reconstruction. The clinical features and results of various ureteral neoimplantation procedures using intestinal transplants (ileocystoplasty, sigmoidocystoplasty, cecocystoplasty) are discussed.
结核病仍然是全球范围内的一个公共卫生问题。俄罗斯结核病与肺部疾病科研所的泌尿生殖系统结核病门诊成立于1950年。针对泌尿生殖系统结核病患者的重建手术始于1960年。从那时起，共治疗了4298例泌尿生殖系统结核病患者，并实施了2364台手术：885台为切除器官手术，531台为保留器官手术，948台为重建手术。近年来肺外结核病病例已增至6.0%。泌尿生殖系统结核病手术是在尝试了特定的药物治疗后进行的，但手术难度较大，尤其是重建手术。本文讨论了使用肠道移植（回肠膀胱扩大术、乙状结肠膀胱扩大术、盲肠膀胱扩大术）的各种输尿管再植手术的临床特征和结果。
