Analysis an cause and treatment of ureteral stenosis in early period after kidney transplantation

LIU Hang; et al

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Analysis an cause and treatment of ureteral stenosis in early period after kidney transplantation

更新时间：2024-01-17

- Analysis an cause and treatment of ureteral stenosis in early period after kidney transplantation
- Journal of Chongqing Medical University Issue 6, Pages: 739-740(2008)
- 作者机构：
  
  1. 重庆医科大学附属第一医院泌尿外科
  2. 重庆医科大学附属第一医院泌尿外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：
  CLC： R699
- Published：2008，
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[1]刘航,梁思敏,吴小候.肾移植术后近期输尿管梗阻的病因分析和治疗[J].重庆医科大学学报,2008(06):739-740+757.

LIU Hang, et al. Analysis an cause and treatment of ureteral stenosis in early period after kidney transplantation. [J]. Journal of Chongqing Medical University (6):739-740(2008)
[1]刘航,梁思敏,吴小候.肾移植术后近期输尿管梗阻的病因分析和治疗[J].重庆医科大学学报,2008(06):739-740+757. DOI：

LIU Hang, et al. Analysis an cause and treatment of ureteral stenosis in early period after kidney transplantation. [J]. Journal of Chongqing Medical University (6):739-740(2008) DOI：

摘要

目的:分析肾移植术后近期内移植肾输尿管梗阻发生的原因和治疗手段。方法:总结我科1993年2月

007年8月共250例肾移植患者

术后1

2周内发生输尿管梗阻导致移植肾积水共8例

占3.2%

其中2例血肿压迫;2例输尿管膀胱吻合口狭窄;1例输尿管过长扭转;1例移植肾旋转致输尿管扭转;1例吻合口漏;1例精索水肿压迫。结果:除1例吻合口漏患者保守治疗外

其余7例均再次手术解除梗阻

术后病情改善

移植肾功能恢复。结论:肾移植术后近期移植肾输尿管梗阻的原因多与外科因素有关;对手术各个环节加以注意

可以减少输尿管梗阻的发生。外科手术是解除术后输尿管梗阻的主要手段。

Abstract

Objective:To analyze the cause and treatment of ureteral stenosis in the early stage after kidney transplantation.Methods:250 cases of the kidney transplantation since 1993 to 2007 were collected and analyzed

including 141 men and 109 women

240 cadaveric transplantations and 10 living dononr transplantations. Results:In 8 cases(3.2%) ureteral stenosis occurred in the early stage following the renal transplantation;including hematoma compression(2cases);stenosis of ureter- bladder stoma(2cases);ureter torsion(1case);transplantal kidney torsion(1case);stomal leak(1case) and hydropsia of spermatic cord(1case). 7 cases required another surgical operation to remove the obstruction and the renal function recovered in these cases. Conclusion:The ureteral stenosis in the early stage of kidney transplantation was mostly contributed to the surgical reasons such as mis-perfamance. The occurance rate of ureteral stenosis should be reduced if each one step of the kidney transplantation is carefully performed. The open surgical managemen is a direct and effective method to remove the obstruction.

关键词

肾移植输尿管梗阻治疗

Keywords

kidney transplantationUreteral stenosistreatment

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