摘要
目的 :提高对移植肾输尿管梗阻的治疗水平。方法 :回顾性分析 16例移植肾输尿管梗阻的临床资料。 6例急性梗阻患者中 ,2例因髂窝血肿压迫者行血肿清除术 ;2例血凝块堵塞者 ,1例逆行留置输尿管导管 ,另1例行输尿管再植术 ;2例结石者行体外冲击波碎石治疗。 10例慢性梗阻患者中 ,7例输尿管远端狭窄 ,行输尿管再植术 ;3例输尿管中、远段狭窄 ,行自身输尿管与移植肾肾盂吻合术。结果 :16例经外科处理后 ,移植肾功能明显改善 ,随访观察半年无复发。结论 :移植肾输尿管梗阻经及时恰当的外科处理 ,疗效满意 ,对慢性梗阻患者 ,应根据术中输尿管探查情况 ,选用输尿管再植术或自身输尿管与移植肾肾盂吻合术。
Purpose:To improve the treatment of ureteral obstruction after renal transplantation.Methods:The clinical data of 16 urteral obstruction cases following renal transplantation were analyzed retrospectively.Six cases of acute ureteral obstruction were treated by evacuation of hematoma in 2 cases,ESWL in 2 cases,catheterization of the transplanted orifice in 1 case and ureteric reimplantation in 1 case.10 case of chronic ureteral obstruction were treated by ureteric reimplantation due to shorter distal ureteral stenosis ( 0.5 cm～ 1.5 cm) in 7 cases and anastomosis of ipsilateral ureter of the recipient with pelvis of donor kidney due to longer ureteral stenosis ( 4.5 cm～ 6.0 cm) in 3 cases.Results:The stenosis was corrected and the renal function was improved in 16 cases.Six month follow up showed no ureteral stenosis recurrence in all the cases.Conclusions:Ureteral obstruction following kidney transplantation could be treated by suitable surgical management.For chronic ureteral obstruction,the ureter condition of the recipient was the basis for the determination of surgical procedures.
出处
《临床泌尿外科杂志》
2003年第7期390-391,共2页
Journal of Clinical Urology
关键词
移植肾
输尿管梗阻
外科处理
再植术
吻合术
Kidney transplantation
Ureteral obstruction
Replantation
Anastomosis,surgery
