论文部分内容阅读
本文报告６０例回肠代全输尿管术。先天性肾积水、上尿路结石及输尿管病变等，应用此项手术方式，可以保存患肾功能，对于单侧及双侧上尿路病变均适用。由于肠管的顺蠕动作用，使肾盂内产主负压，而无尿液滞留，有利于防止肾盂内感染及改善肾功能。在手术中放置临时性肾盂引流管，经肠代输尿管壁引出，避免扩张的肾盂术后尿液滞留。术后近期的预防感染治疗尤为重要。并发症中有部分病例出现低钾现象，应予及时纠正。本组无手术死亡率。在近期及远期随访中，均获得满意效果。
This article reports 60 cases of ileal transurethral ureter. Congenital hydronephrosis, upper urinary tract stones and ureteral lesions, the use of this surgical approach, you can save suffering from renal function, unilateral and bilateral upper urinary tract disease are applicable. As the intestinal peristalsis, so that the negative pressure in the renal pelvis, without urine retention, is conducive to preventing renal pelvis infection and improve renal function. Temporary renal pelvis drainage tube placed in the surgery, led by the ureteral wall by the intestine, to avoid dilatation of urine retention after renal pelvis surgery. After the recent prevention of infection treatment is particularly important. Some cases of complications in the emergence of hypokalemia should be promptly corrected. This group of non-surgical mortality. In the near future and long-term follow-up, all achieved satisfactory results.