中国内镜杂志2011，Vol.17Issue(12)：1308-1310,3.
微通道经皮肾穿刺造瘘在处理移植肾输尿管并发症中的应用(附9例报告)
Application of microchannel percutaneous nephrostomy in treating ureteral complications after renal transplantation (a report of 9 cases)
谢晋良 1杨中青 2周成 1朱向荣 1丁翔 1陈志 2齐范 2顿金庚 2张阳德1
作者信息
- 1. 中南大学湘雅医院器官移植中心 湖南长沙410008
- 2. 中南大学湘雅医院泌尿外科,湖南长沙410008
- 折叠
摘要
Abstract
[Objective] To evaluate the application of microchannel percutaneous nephrostomy for treating ureteral complications after renal transplantation. [Methods] After renal transplantation, microchannel percutaneous nephrostomy was performed in 5 cases with ureteral fistula, 2 cases with ureteral stricture and 2 cases with ureteral stones,respectively. Among the 9 cases, 2 cases with ureteral stricture underwent double-J stenting and 2 cases with ureteral stones underwent percutaneous nephrolithotomy with double-J stenting simultaneously. After the whole and local conditions were improved, the decision could be made whether to do two-stage operation according to the imaging. [Results] Two patients with ureteral fistula and one patient with ureteral stricture were cured after adequate drainage. One with ureteral fistula underwent ureteroureteral anastomsis to self ureter. Two patients with ureteral fistula and one case with ureteral stricture underwent ureteric reimplantation. After the double-J stent was removed, ureteral obstruction was not found in the cases with ureteral stones. Operations were performed successfully in all the patients. The serum creatinine levels reduced in 9 patients in different degree. Recurrence was not found within 4~79 months follow-up. [Conclusion] MicroChannel percutaneous nephrostomy is a safe and effective proce-dure for treating ureteral complications after renal transplantation. It may avoid open surgery or provide a favorable operation chance for open surgery.关键词
尿瘘/输尿管梗阻/肾移植/经皮肾穿刺造瘘Key words
fistula/ ureteral obstruction/ renal transplant/ percutaneous nephrostomy分类
医药卫生引用本文复制引用
谢晋良,杨中青,周成,朱向荣,丁翔,陈志,齐范,顿金庚,张阳德..微通道经皮肾穿刺造瘘在处理移植肾输尿管并发症中的应用(附9例报告)[J].中国内镜杂志,2011,17(12):1308-1310,3.
