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本文总结了我院1978~1993年969例肾移植中14例输尿管长段缺损的治疗情况。治疗手段包括输尿管膀胱吻合,自体输尿管与供肾肾盂或输尿管吻合,膀胱瓣与供肾肾盂或输尿管吻合,移植肾切除。手术治愈10例,术后发生尿漏3例。认为应根据正常输尿管的残留长度、自身输尿管情况、伤口内有无合并感染等决定手术方式。
This article summarizes the treatment of long ureteral defects in 969 cases of renal transplantation from 1978 to 1993 in our hospital. Treatment includes ureteral bladder anastomosis, autologous ureter and renal pelvis or ureter for anastomosis, bladder flap and renal pelvis or ureter for anastomosis, transplanted nephrectomy. Surgery in 10 cases, 3 cases of postoperative urine leakage. That should be based on the length of the normal ureteral residual ureter itself, with or without infection in the wound to determine the surgical approach.