论文部分内容阅读
复杂而严重的尿路并发症是导致肾移植手术失败及移植肾带功死亡的重要原因。移植受者由于膀胱肌肉萎缩、组织纤维化明显,组织修复能力下降,加之老年男性患者多合并前列腺增生等下尿路疾病,术后易发生漏尿、膀胱输尿管反流、尿路感染及下尿路梗阻等并发症,故需高度重视,采取有效的防治措施。老年肾移植尿路重建方式的选择老年肾移植受者通常术前由于营养状况较差,且常合并糖尿病及下尿路症状,术后发生尿瘘、膀胱输尿管反流的概率增大。因此,在移植手术中选择更佳的尿路重建方式能有效预防术后尿路并发症。
Complicated and serious complications of the urinary tract is the leading cause of failure of renal transplantation and death of renal grafts. Transplanted recipients due to bladder muscle atrophy, significant tissue fibrosis, tissue repair capacity decreased, combined with the elderly men with multiple benign prostatic hyperplasia and other lower urinary tract diseases, postoperative prone to leakage of urine, vesicoureteral reflux, urinary tract infection and urinary tract infection Road obstruction and other complications, it needs to attach great importance to take effective prevention and treatment measures. The choice of urinary tract reconstruction in elderly renal transplant recipients of elderly renal transplant recipients usually preoperative because of poor nutritional status, and often associated with diabetes and lower urinary tract symptoms, postoperative urinary fistula, vesicoureteral reflux increased probability. Therefore, the choice of a better urinary tract reconstruction in transplant surgery can effectively prevent postoperative urinary tract complications.