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Endoscopic management of ureterovesical anastomosis obstruction in transplanted kidney

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF ORGAN TRANSPLANTATION
Issue:
3
DOI:
10.3760/cma.j.issn.0254-1785.2005.03.005
Key Word:
输尿管梗阻;泌尿外科手术方法;肾移植;引流

Abstract: 目的探讨微创性经皮肾穿刺顺行输尿管镜技术和经尿道逆行输尿管镜技术治疗移植肾输尿管膀胱吻合口梗阻的可行性与疗效.方法对移植肾输尿管膀胱吻合口梗阻的16例患者,采用微创性经皮肾穿刺顺行输尿管镜技术和经尿道逆行输尿管镜技术对吻合口狭窄或闭锁进行内切开与扩张,放置输尿管内支架管内引流,并观察患者肾功能的改善情况.结果1例患者经尿道逆行插入输尿管镜,行气囊扩张后,放置输尿管内支架管内引流;13例患者经皮肾穿刺顺行插入输尿管镜,行梗阻段内切开与扩张,放置输尿管内支架管内引流;2例因吻合口闭锁长度超过1 cm,改开放手术.术后随访1~24个月,13例引流通畅,肾功能恢复正常,血肌酐为45~113 μmol/L;3例肾功能恢复较差,血肌酐为158~315μmol/L.结论微创性经皮肾穿刺顺行输尿管镜技术和经尿道逆行输尿管镜技术处理移植肾输尿管膀胱吻合口梗阻,疗效较好,操作简便、安全.

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