摘要
目的探讨肾移植术后尿瘘并发症的合理治疗方法。方法共治疗9例尿瘘患者，3例单纯经尿道留置Foley导尿管治愈，2例原引创口流口管置入普通导尿管＋留置膀胱Foley导尿管双向引流，1例经膀胱镜逆行置入输尿管支架＋留置膀胱Foley导尿管、1例行尿性囊肿切排术加留置膀胱Foley导尿等方法治愈，1例进行了开放手术输尿管膀胱重新吻合术＋置入输尿管支架，1例行输尿管膀胱肌瓣吻合术无效后，行自体输尿管与移植肾输尿管吻合术。结果所有病例尿瘘治愈，随访1个月～3年，无一例发生输尿管并发症。结论。对于肾移植术后尿瘘治疗，可以先采用无创或微创治疗手段，在无创或微创的治疗手段无效后及时采取手术干预。
Objectives To study reasonable treatment of urinary leakage after renal transplantation. Methods A total of 9 cases were treated with inserting Foley catheter alone （3 cases） , placing Foley catheter into the bladder and drainaging from the native drainage channel （2 cases） , inserting a ureteral stent by endourological retrograde approach and depositing Foley catheter into the bladder （ 1 case） , performing ureterocystostomy and depositing Foley catheter （ 1 case） , anastomosing ureter and bladder and placing ureteral stent （ 1 case） , and performing uretero - ureterostomy after failed anastomosis of ureter and bladder（ 1 case）. Results All patients were cured and discharged from hospital. None of them showed negative graft function during a 1 month to 3 year fiolow - up period. Conclusions Noninvasive and minimally invasive techniques should be taken as the choice of treatment of urinary leakage ＇after renal transplantation. Only when the previous treatments fail, invasive surgery should be considered.
出处
《国际泌尿系统杂志》
2007年第5期588-590,共3页
International Journal of Urology and Nephrology
关键词
肾移植
尿瘘
Kidnev Transplantation
Urinary Fistola
