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目的:探讨肾移植术后尿瘘的治疗策略。方法:回顾性分析2007～2011年我院9例肾移植术后尿瘘患者的临床资料:男6例,女3例,平均年龄37.1±8.2岁。9例患者均首选保守治疗,先留置尿管保持膀胱空虚,然后充分引流移植肾和膀胱周围尿液,并抗感染、营养支持等;无效者改开放手术。结果:7例经保守治疗痊愈;2例保守治疗无效,其中1例并发尿性囊肿和移植肾输尿管狭窄,均改开放手术治愈。结论:肾移植术后尿瘘首选保守治疗,合并其他外科并发症或保守治疗无效者需开放手术治疗。
Objective: To explore the treatment strategy of urinary fistula after renal transplantation. Methods: The clinical data of 9 patients with urinary fistula after renal transplantation in our hospital from 2007 to 2011 were analyzed retrospectively: 6 males and 3 females, with an average age of 37.1 ± 8.2 years. Nine patients were the preferred conservative treatment, the first catheter to keep the bladder empty, and then fully drain the kidney and urine around the bladder, and anti-infection, nutritional support, etc .; ineffective change to open surgery. Results: Seven cases were cured by conservative treatment. Two cases were ineffective in conservative treatment. One case complicated with urethral cyst and ureteric stenosis were all cured by open surgery. Conclusion: The first conservative treatment of urinary fistula after renal transplantation, combined with other surgical complications or conservative treatment ineffective open surgery.