Diagnosis of ureteral obstruction after renal transplantation and treatment of.docVIP

 PAGE \* MERGEFORMAT 5 Diagnosis of ureteral obstruction after renal transplantation and treatment of Ureteral obstruction after renal transplantation is a common complication after renal transplantation, one of early diagnosis and appropriate for the protection or restoration of renal function and enhance renal transplant person / graft survival rates has important clinical significance. Clinical Our center has 417 cases of renal transplantation Xingshi times, which were diagnosed as ureteral obstruction in 15 cases, accounting for 3.6%, 12 cases were male, 1 female, aged 18-44 years, when the kidneys move into double-J ureteral catheter and the hoof off to the tunnel-type embedded match, indwelling 5-6d, using triple drug immunosuppression (CsA Aza Pred). The group of 15 case-times, the stone obstruction in 6 cases, a narrow obstruction in 5 cases, mucormycosis obstruction in 2 cases, secondary obstruction in 2 cases occurred after time 2d to 3d, stone obstruction in 6 cases, 2 cases of early stage after renal transplantation blood clot, 4 cases of uric acid stones, 1 patient had 2 second place. Stenosis obstruction as an external blood clot in one cases of oppression and 4 cases of scar stenosis (of which 1 case had anastomotic leak), 2 cases of mucormycosis sense of policy, of which 1 case 2 occurs and obstruction case. 15 cases of second in the seven cases of renal dysfunction occurred in 4 patients diagnosed as acute rejection. Expressed as a sudden anuria in 3 cases, kidney area pain in 11 cases, hematuria in 4 cases, 2 cases of elevated serum creatinine alone. Suspected ureteral obstruction after renal transplantation were carried out B-, X ray, bladder examination, most of them can confirm the diagnosis. B-show in this group, renal pelvis hydrocephalus in 10 cases, stones were found in 4 cases, cystoscopy retrograde catheterization showed stenosis in 4 cases, renal pelvis puncture angiography showed stenosis in 1 case.