摘要
目的探讨并总结肾移植术后输尿管狭窄的诊治经验。方法回顾性分析1993年12月至2007年4月1 223例次肾移植术后发生输尿管狭窄的发病情况、诊断、处理及结果。结果1 223例次肾移植术后发生输尿管狭窄19例(1.6%)。其中13例为输尿管膀胱吻合口狭窄,5例经移植肾输尿管膀胱再植治愈,8例经移植肾输尿管与自体输尿管吻合治愈。其余6例为输尿管-输尿管吻合口狭窄,采用输尿管镜下冷刀切开、球囊扩张治愈。所有患者均无手术并发症,肾功能均得到恢复,术后平均随访52个月,均未再次发生输尿管狭窄。结论造成肾移植术后输尿管狭窄原因复杂,外科手术是解除狭窄的主要方法,处理得当,对移植肾功能的恢复无明显影响。
Objective To surmmarize the clinical experiences of diagnosis and management of ureteral stenosis after 1 223 kidney transplants. Methods Between 1993 and 2007,1 223 kidney transplants were performed in our institution. The incidence,diagnosis, management and outcome of ureteral stenosis after transplantation were retrospectively reviewed. Results Ureteral stenosis was encountered in 19 cases （1.6 %）. Of these, 13 cases were ureterovesical stenosis. They were successfully treatment with repeat uret- eroneocystostomy （5 cases） and ureteroureterostomy （8 cases）. 6 cases were ureteroureteral stenosis which was successfully treated with endourology using balloon dilation. The surgical complications didn＇t occur in all the cases and the renal [unction of these pa- tients recovered. 52 months follow-up showed no recurrence in all the cases. Conclusion The cause of ureteral stenosis after kidney transplantation is complex. The surgical operation is the main method to resolve the stenosis. The graft function and the long-term graft survival are not affected by a correctly treated ureteral stenosis.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第20期2550-2551,2554,共3页
Chongqing medicine
关键词
肾移植
输尿管狭窄
再植
kidney transplantation
ureteral stenosis
reimplantation
