尿瘘和狭窄是肾移植少见的合併症。手术治疗死亡率高。我们采用经皮尿分流的方法治疗瘘,并用经皮插入支撑管的方法治疗后期输尿管狭窄。方法和结果: 从肾移植切口外侧用22号Chiba针穿刺肾盂,如无尿在X线透视下缓慢退针并边注造影剂,当肾盏充盈或显示输尿管后,用0.45mm直径的导丝插入肾盏,拔出针,在导丝外插一19英寸长的21号钢套管。两管外面再放一短导管到肾。用Ring多孔肾造瘘管治疗瘘和狭窄,门诊狭窄病人可用Sitastic聚硅酮双钩管代替Ring管。两年中,有6例患者肾移植后发生尿瘘,1例位于上肾盏,3例位于输尿管,2例 Urinary fistula and stenosis are rare complications of renal transplantation. Surgical treatment of high mortality. We use percutaneous transcutaneous shunt method for the treatment of fistula, and percutaneous insertion of the support tube for the treatment of advanced ureteral stricture. Methods and Results: The renal pelvis was punctured with a 22-gauge Chiba needle from the outside of the renal transplant incision, and if no urine, the needle was withdrawn slowly under fluoroscopy and contrast agent was injected into the renal pelvis. When the calyx was filled or showed ureter, Insert the calyx, pull out the needle, and insert a 19-inch long No. 21 steel cannula over the guidewire. Two tubes outside to put a short catheter to the kidney. Ring porous fistula with fistula and stenosis, outpatient stenosis patients can use Sitastic silicone double hook tube instead of the Ring tube. In two years, urinary fistulas occurred in 6 patients after kidney transplantation, in the upper calyx in 1, in the ureter in 3, in 2