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目的:分析肾移植术后尿路并发症的发生及治疗。方法:对218例肾移植术后患者进行分析,采用B超,创腔引流液生化检查,顺行移植肾肾盂造影及腹部CT等方法,确诊尿路并发症。结果:7例患者发生需要外科处理的尿路并发症,外科处理后,6例患者治愈,1例死亡。结论:重视保护移植肾输尿管的血液供应,良好的吻合技术,常规短期留置D-J管,可以减少尿路并发症发生率。及时诊断、处理尿路并发症可有良好转归。
Objective: To analyze the occurrence and treatment of urinary complications after renal transplantation. Methods: Two hundred and eighty-eight patients with renal transplantation were analyzed. The complications of urinary tract were confirmed by biopsy with B-mode ultrasonography, invasive biopsy, cisplatin renal pelvisography and abdominal CT. Results: Urinary complications requiring surgical treatment occurred in 7 patients. After surgical treatment, 6 patients were cured and 1 patient died. Conclusion: The protection of transplanted kidney ureter blood supply, good anastomosis technology, routine short-term indwelling D-J tube, can reduce the incidence of urinary tract complications. Timely diagnosis and treatment of urinary tract complications may have a good prognosis.