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我院从1980～1998年共行回肠代输尿管术15例，随访11月～18年，全部健康生存，疗效满意。强调手术指征从严．当肾门区狭窄时，回肠袢近端与肾吻合原则是最低位、重度扩张的肾盏，以利引流通畅。回肠袢与膀胱吻合均采用直接吻合法，要求顺蠕动吻合，吻合口够大，并不强调在回肠袢末端作能抗逆流的乳头．回肠代输尿管术为处理复杂的上尿路梗阻性疾病、重建尿路的连续性提供了一个可行的良好方法。
Our hospital from 1980 to 1998, a total of 15 cases of ileal ureter, followed up for 11 months to 18 years, all were healthy, with satisfactory results. Emphasize the strict indications for surgery. When the hilar area is narrow, the principle of anastomosis of the proximal ileum to the kidney is the lowest, severe expansion of the calyces to facilitate drainage. Ileal 袢 and bladder anastomosis are used direct anastomosis law, require smooth perineal anastomosis, anastomotic large enough, not stressed at the end of the ileum 作 for anti-reflux nipple. Ileal ureter is a feasible and good method for the treatment of complicated upper urinary tract obstructive diseases and the reconstruction of urinary tract continuity.