移植肾输尿管长段缺损的预防和外科处理

本文总结了我院１９７８－１９９３年年９６９例肾移植中１４例输尿管长段缺损的治疗情况。治疗手段包括输尿管膀胱吻合，自体输尿管与供肾肾盂或输尿管吻合，膀胱瓣与供明肾盂或输尿管吻合，移植肾切除。手术治愈１０例，术后发生尿漏３例。认为应根据正常输尿管的残留长度、自身僵尿管情况、伤口内有无合并感染等决定手术方式。

The prevention and surgical management of short ureter in renal transplantation

Of 969 consecutive recipients of renal allografts, 14 cases were diagnosed having short ureter complications. In terms of the remaining ureter lenth, different surgical procedures were performed, including extravesical ureteronecystomy, Boari flap operation, uretero-or pyeloureterostomy using native ureter, graft nephrectomy. Ten cases were operatively cured, 3 cases occurred urinary leakage afte surgery. The authors considered that the remaining ureter lenth,ureter condition of the recipient and the wound with or without infection were the basis for the determination of surgical procedures.