摘要
目的:探讨膀胱瓣成形(Boari)术治疗输尿管梗阻的应用价值。方法:对同种异体肾移植术后3例长段或者多节段的输尿管梗阻患者以及3例经保守治疗无效的尿瘘患者行Boari术。结果:6例患者输尿管均得到重建,随访1年,复查静脉肾盂造影未见梗阻或者狭窄复发,输尿管再通率100%,人、肾存活率均为100%。结论:Boari术是治疗肾移植术后输尿管梗阻或者尿瘘的有效方法。
Objective： To study the value of using Boari bladder flaps on treating ureteric obstruction and urinary fistula. Methods：3 recipients developed long or multisegment ureteral strictures, and 3 recipients had urinary fistula unresponsive to nonsurgical treatment within 1 year after kidney transplantation in 221 recipients from January 2000 to May 2004. All 6 cases underwent open surgical management （using Boari flap）. Results.. All 6 patients had successful reconstruction of the transplant ureter using bladder for substitution, and no recurrent ureteral obstruc- tion was observed after one year following up. One-year survival rate of recipients and allografts were both 100 %. Conclusions： Using the bladder for reconstruction via Boari flap is an effective technique for ureteric obstruction and urinary fistula following kidney transplantation.
出处
《临床泌尿外科杂志》
2007年第2期128-129,共2页
Journal of Clinical Urology
关键词
肾移植
输尿管梗阻
尿瘘
Boari瓣
Kidney transplantation
Ureteric obstructions Urinary fistulas Boari flap
