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我院从1979年10月~1994年12月共行异体肾移植术511例次,发生移植肾输尿管坏死6例,4例痊愈,1例移植肾功能开始恢复死于全力衰竭,1例切除移植肾,二次移植成功。本文就移植肾输尿管坏死的原因、临床表现、诊断、预防与处理进行了探讨。认为在取肾和修肾时应保护输尿管血液供应,有效地控制排斥反应和感染是关键,并根据输尿管坏死长度决定处理方法。
In our hospital from October 1979 to December 1994 511 cases of allogeneic kidney transplantation, renal transplant ureter necrosis occurred in 6 cases, 4 cases recovered, 1 case of renal grafts began to recover died of total failure, 1 case of resection and transplantation Kidney, the second transplant success. In this paper, the causes, clinical manifestations, diagnosis, prevention and treatment of ureteral nephrosis in renal transplantation were discussed. That kidney and kidney repair should protect the blood supply to the ureter, the effective control of rejection and infection is the key, and according to the length of ureter to determine the treatment method.