复杂的尿路转移用于移植的多中心评估:复杂的手术解决方案的结果
Luka Flegar1, Johannes Huber2, Juliane Putz3
1Department of Urology, Philipps-University Marburg, Baldinger Street, 35043, Marburg, Germany. luka.flegar@uk-gm.de.
World journal of urology
|April 17, 2024
概括
在移植 (KT) 中,复杂的尿路转移显示了与标准方法相比的中期移植功能. 在必要时,即使在移植期间,也应该考虑这种手术选择,以改善患者的治疗结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 移植手术 移植手术
背景情况:
- 不正常的下泌尿道在脏移植 (KT) 中存在手术挑战.
- 复杂的重建性尿路转移是多样化的,由于稀有性,难以标准化.
研究的目的:
- 研究移植中复杂的尿路转移的症状和结果.
- 评估与这些复杂程序相关的中期功能和生存率.
主要方法:
- 在8个泌尿器移植中心对37名经历了复杂的尿路转移的患者进行了回顾性分析.
- 包括当前的后续数据来评估长期结果.
主要成果:
- 造成功能衰竭的最常见原因包括膀管外逆流,分脊椎,球炎.
- 阴道是最常见的失禁转移 (67%),而美因茨囊I和膀增大是频繁的大陆转移.
- 五年移植存活率为79%,平均总存活时间为227个月.
结论:
- 经过复杂的尿路转移的中期脏移植功能与常规转移相当.
- 复杂的尿路转移是一种可行的手术选择,在移植期间应考虑如果有指示的话.
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