自体肾移植治疗复发性肾绞痛。

C A Olsson, B Idelson
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引用次数: 0

摘要

自体肾移植作为回肠介入的替代方法已经成功地应用于反复发作的肾绞痛患者。通过直接与肾盂吻合的博氏管,重新建立了尿路连续性。这导致复发性结石容易排出而没有疼痛。此外,波氏管的肌肉组织似乎足以预防膀胱肾反流。该手术没有与回肠介入相关的电解质和粘液尿潴留问题,因此提倡在药物治疗失败时作为治疗此类患者的替代方法。
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Renal autotransplantation for recurrent renal colic.

Renal autotransplantation as an alternative to ileal interposition has been done successfully in patients with repetitive episodes of renal colic. Urinary tract continuity has been re-established by anastomosis of a Boari tube directly to the renal pelvis. This has resulted in easy egress of recurrent calculi without pain. Furthermore, the musculature of the Boari tube seems to be adequate for prevention of vesicorenal reflux. The procedure has been devoid of electrolyte and mucous urinary retention problems associated with ileal interposition and it is advocated as an alternative in the management of such patients when medical therapy fails.

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