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目的:比较肾移植常规应用输尿管支架管内引流与外引流以降低尿路并发症的疗效。方法:肾移植506例,第一阶段共238例采用输尿管支架管外引流,第二阶段共112例随机分成两组,外引流组58例,内引流组54例,进行前瞻性研究,第三阶段共156例均采用内引流。比较各阶段尿路并发症发生率。结果:三个阶段尿路并发症发生率分别是10.10％(24/238)、7.14％(8/112)和0.64％(1/156),总体尿路并发症发生率在外引流和内引流患者分别是10.50％(31/296)和0.95％(2/210)。结论:常规应用双J管内引流优于外引流。
OBJECTIVE: To compare the efficacy of conventional ureteral stent drainage and drainage in renal transplantation to reduce the complications of urinary tract. METHODS: A total of 506 renal transplant recipients were enrolled in this study. A total of 238 patients underwent ureteral stent drainage in the first phase. A total of 112 patients in the second phase were randomly divided into two groups: 58 patients in the external drainage group and 54 patients in the internal drainage group. A total of 156 cases were used within the drainage. Compare the incidence of urinary tract complications in all stages. Results: The incidence of urinary complications in three stages were 10.10% (24/238), 7.14% (8/112) and 0.64% (1/156), respectively. The overall incidence of urinary complications was significantly higher in patients with external drainage and internal drainage Respectively, 10.50% (31/296) and 0.95% (2/210). Conclusion: Conventional double J-tube drainage is superior to external drainage.