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目的:探讨膀胱瓣输尿管成形术(boari flap ureteroplasty,BFU)治疗移植肾输尿管梗阻的效果和经验。方法:回顾性分析我院近5年来应用BFU治疗10例移植肾输尿管梗阻患者的临床资料及随访结果,观察移植肾输尿管是否再次发生梗阻和积水。结果:所有患者移植肾输尿管梗阻均得到完美重建,随访1～5年B超检查未见移植肾梗阻和积水,移植肾功能维持正常。结论:BFU是治疗肾移植术后输尿管长段梗阻的有效方法,且近、远期疗效满意。
Objective: To investigate the effect and experience of transcatheter ureteral obstruction (BPU) treated with urethral pleural flap ureteroplasty (BFU). Methods: The clinical data and follow-up results of 10 cases of transplanted renal artery obstruction treated with BFU in our hospital during the past 5 years were retrospectively analyzed. Obstruction and hydration of the ureter of the renal transplant were observed again. Results: Ureteral obstruction was completely reconstructed in all patients. All the patients were followed up for 1 to 5 years. There was no renal allograft obstruction and hydronephrosis and the function of allograft kidney was normal. Conclusion: BFU is an effective method for the treatment of ureteral obstruction after renal transplantation, and the short-term and long-term effects are satisfactory.