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作者回顾了1975～1986年间600次肾移植术后发生和处理输尿管佛发症的情况.全组491例病人,施行肾移植术600次(尸肾540次,活体肾60次).全组平均年龄37.8岁(6～63岁),男∶女为1.7∶1.首次手术487次,第2、3和4次手术分别为95次,15次和3次.随访至1987年1月(4月至12年).近全部病人用Leadbetter-Politano法行输尿管膀胱吻合术.Foley管引流膀胱5天,手术部位经负压吸引引流多日.结果: 泌尿系并发症是输尿管梗阻和尿漏,首发43次(7%),继发5次(处理首发并发症后发生的并发症).多次肾移植者的并发症发生率并未增高.对所有这类并发症的治疗效果良好.术后随访至少4年的并发症发生率从11%(1975年)降至2%(1982年),
The authors reviewed the incidence and management of ureteral Buddhism after 600 renal transplantations from 1975 to 1986. All 491 patients underwent renal transplantation 600 times (540 for dead and 60 for live) The age of 37.8 years (6 to 63 years), male to female 1.7: 1. The first operation of 487 times, 2,3 and 4 were 95 times, 15 times and 3 times, followed up to January 1987 (4 Month to 12 years.) Nearly all patients underwent lead urinary bladder anastomosis with Leadbetter-Politano method.Foley tube drainage of the bladder for 5 days, the surgical site was suctioned and suctioned for many days.Results: Urinary tract complications were ureteral obstruction and urinary leakage, The first episode of 43 (7%), secondary 5 (complications after the first treatment of complications) .Rate of renal transplant recipients did not increase the incidence of complications .For all such complications, the treatment effect is good. The complication rate after at least 4 years of follow-up was reduced from 11% (1975) to 2% (1982)