摘要
目的明确肾移植术后移植肾输尿管梗阻出现的原因和处理方法。方法研究本院2008年1月至2009年2月间的9例移植肾输尿管梗阻的医院患者,患者临床多数表现为血肌酐(SCr)升高、尿少,通过B超和磁共振泌尿系统水成像(MRu)等影像学检查进行确诊,其中2例行经皮肾穿刺造瘘并顺行尿路造影明确梗阻部位。结果 9例患者经手术和组织学检查证实梗阻的理由是:输尿管膀胱吻合口狭窄3例,输尿管外瘢痕或炎性组织压迫2例,输尿管下端坏死梗阻2例,输尿管内小结石2例。结论造成移植肾输尿管梗阻病因较复杂,因而需要结合临床表现和影像学检查确诊。根据造成移植肾输尿管梗阻症状的不同,可采用手术或者肾内科综合治疗的方法。
Objective In this paper,we definite the cases and treatment of ureteral obstruction after renal transplantation. Methods The nine cases of kidney transplant patients with ureteral obstruction of the hospital was included from January 2008 to February 2009.Most patients showed clinical serum creatinine （SCr） increased and oliguria. By the manifesta＇tions of B mode ultrasonography,isotope nephrogram and MRU,there are two cases percutaneous nephrostomy and antegrade urography clear of obstruction. Results The reason of 9 patients underwent surgery and histological examination is that there is 3 cases of ureter bladder delay anastomotic stricture,2 cases of ureteral pressure outside the scar or inflammatory tissue,2 cases of ureteral obstruction bottom of necrosis,2 cases of small stones within the ureter.Conclusion The cause of ureteral obstruction caused by renal transplantation is more complex,and it needs a combination of clinical manifestations and impact of science diagnosed. According the different symptoms causing the renal transplantation ureteral obstruction caused,surgery can be used or combined treatment approach of Nephrology.
出处
《中外医疗》
2010年第20期84-84,86,共2页
China & Foreign Medical Treatment
关键词
输尿管梗阻
肾移植
Ureteral obstruction
Renal transplantation
