肾移植术后尿瘘的治疗策略(附9例报告)  

Therapeutic strategies for urinary fistula after renal transplantation(Report of 9 cases)

作　　者：杨华[1] 王振迪[1] 李恒[1] 曾甫清[1] 

机构地区：[1]华中科技大学附属协和医院泌尿外科,武汉430022

出　　处：《临床泌尿外科杂志》2012年第9期661-662,共2页Journal of Clinical Urology

摘　　要：目的:探讨肾移植术后尿瘘的治疗策略。方法:回顾性分析2007～2011年我院9例肾移植术后尿瘘患者的临床资料:男6例,女3例,平均年龄37.1±8.2岁。9例患者均首选保守治疗,先留置尿管保持膀胱空虚,然后充分引流移植肾和膀胱周围尿液,并抗感染、营养支持等;无效者改开放手术。结果:7例经保守治疗痊愈;2例保守治疗无效,其中1例并发尿性囊肿和移植肾输尿管狭窄,均改开放手术治愈。结论:肾移植术后尿瘘首选保守治疗,合并其他外科并发症或保守治疗无效者需开放手术治疗。Objective： To investigate the therapeutic strategies for urinary fistula after renal transplantation. Methods：Nine cases were analyzed retrospectively who had been diagnosed with urinary fistula after renal trans- plantation from 2007 to 2011 in our hospital. All patients underwent conservative treatment first, for example emptying the bladder by indwelling catheter, urine drainage around the bladder and transplant kidney, anti--infection treatment and nutritional support. The cases changed open surgery if the initial treatment failed. Results： Seven patients were successfully treated by conservative treatment, two cases failed and one of them combined urinoma and ureteral stricture, the two patients were cured with open surgery, Conelusions：Conservative treatment is the first choice for urinary fistula after renal transplantation. Open surgery is necessary for the patients who have failure of the previous treatments or combine with other surgical complications.

关 键 词：尿瘘 肾移植 治疗 

分 类 号：R695.1[医药卫生—泌尿科学]