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在肾结核的治疗中化学疗法是十分成功的,手术治疗已日见减少。但在尿路梗阻性病变的处理中仍有其重要的地位。而且,在病人接受抗结核药物治疗的过程中,疤痕化和狭窄可以发生,肾内疤痕化伴全肾盏梗阻能引起肾功能的完全丧失。其处理半肾切除或全肾切除,这两种毁损性手术是远非满意的。本文介绍一种新的手术,全肾盏—回肠—膀胱吻合术(pancaliceal ileoneocystostomy),尿液可经侧方的全部肾盏系统与回肠袢的肠系膜对侧缘吻合,回肠末端与膀胱吻合道得到引流。
Chemotherapy is very successful in the treatment of renal tuberculosis, surgery has been reduced day by day. However, in the treatment of urinary tract obstruction lesions still have an important position. Moreover, scarring and stenosis can occur during the course of treatment of patients receiving anti-TB drugs. Renal scarring with total renal obstruction can cause complete loss of renal function. It deals with either hemispheresis or total nephrectomy, both of which are far from satisfactory. This article describes a new surgical, full calyx - ileum-bladder anastomosis (pancaliceal ileoneocystostomy). The urine can pass through all of the lateral renal calyces and ileum 袢 on the side of the mesentery anastomosis, ileum and bladder anastomosis get drainage.