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肾移植术后发生尿漏易继发感染,处理不当将导致患者移植肾丧失,甚至死亡。1985年来我们共行同种肾移植术113例次,出现尿漏4例,发生率为3.5％。 临床资料 本组113例次肾移术,全部采用膀胱外、膀胱粘膜下埋藏法行输尿管膀胱植入术,将输尿管植入膀胱侧壁。发生尿漏的4例患者,其中女3例,男1例,术后尿漏发生时间为1天(2例)、2天和6天。尿漏原因为输尿管膀胱植入术时因膀胱粘膜撕裂、修补不满意或术后所致。膀胱过度膨胀导致吻合口破裂漏尿。本文四例均进行创口插入双套管负压引流、留置导尿管引流尿液的方法处理。闭合时间分别为术后4天、5天、15天
Urine leakage after renal transplantation is prone to secondary infection, improper handling will lead to the loss of renal transplant patients, and even death. In 1985, we had 113 cases of allograft renal transplantation, with 4 cases of urinary leakage, the incidence was 3.5%. Clinical data of this group of 113 cases of renal transplantation, all with bladder, bladder submucosal burial ureter bladder implants, the ureter implanted in the bladder wall. 4 cases of urinary leakage occurred, including 3 females and 1 males. Postoperative urinary leaks occurred in 1 day (2 cases), 2 days and 6 days. Urine leakage due to bladder catheterization due to bladder mucosa tear, repair is not satisfied or postoperative. Overactive Bladder Causes Anastomotic Rupture Leaks. Four cases of this article were double-cannula wound insertion drainage, indwelling catheter drainage method of treatment. Closing time were 4 days after surgery, 5 days, 15 days