Yashi M, Muraishi O, Kobayashi Y, Tokue A
Department of Urology, Jichi Medical School, Tochigi, Japan.
Urol Int. 1998 Oct;61(1):55-7. doi: 10.1159/000030288.
A 56-year-old woman presented with bilateral hydronephrosis and moderate renal insufficiency. A diagnosis of bilateral ureteral obstruction and low-compliance bladder following pelvic irradiation was made by urological examinations. She underwent gastrocystoplasty to facilitate bilateral ureteral reimplantation with an uneventful postoperative course. We consider that the use of the stomach to reconstruct the urinary tract injured by pelvic irradiation is valuable to avoid an abdominal urinary stoma.
一名56岁女性因双侧肾积水和中度肾功能不全就诊。经泌尿外科检查诊断为盆腔放疗后双侧输尿管梗阻和膀胱顺应性降低。她接受了胃膀胱扩大术以利于双侧输尿管再植，术后过程顺利。我们认为，利用胃来重建受盆腔放疗损伤的尿路对于避免腹部造口是有价值的。
