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本文报告了一例肾移植术后尿瘘、漏尿长达99天,经过治疗获得了自然愈合的结果。并结合文献对肾移植术后尿瘘的有关问题进行了讨论。泌尿系尿瘘是肾移植后的一个严重并发症,常引起感染、肾功能减退或诱发排异而失掉移植肾,甚至造成病人死亡。吴克让报道97例(117次)肾移植后发生尿瘘15例,发生率为12.8%,因并发尿路感染、脓毒血症、败血症、肾功能减退而切除移植肾的4例,死亡9例。目前对于泌尿系尿瘘特别是发生率较高的输尿管瘘,多主张手术治疗,尽管手术方法繁多,但手术效果很不理想。我院有一例肾移植后尿瘘历时99天,经非手术疗法治愈,现予报道并结合文献讨论尿瘘的防治。
This article reports a case of renal fistula after renal transplantation, leakage of urine up to 99 days, after treatment to obtain the results of natural healing. The related issues of urinary fistula after renal transplantation were discussed in combination with the literature. Urinary fistula is a serious complication after renal transplantation, often causing infection, renal dysfunction or rejection caused by the loss of transplant kidneys, and even cause the patient to die. Wu Keren reported in 97 cases (117 times) of renal fistula occurred after renal transplantation in 15 cases, the incidence was 12.8%, due to complicated urinary tract infection, sepsis, sepsis, renal failure and removal of renal transplant recipients in 4 cases, 9 patients died. Currently urinary fistula, especially the higher incidence of ureteral fistula, more advocate surgical treatment, despite the many surgical methods, but the effect of surgery is not ideal. In our hospital there is a case of urinary fistula after renal transplantation lasted 99 days, was cured by non-surgical treatment, is reported and combined with the literature to discuss the prevention and treatment of urinary fistula.