Schreyer H, Wiedner F, Mayer H G
Geburtshilfe Frauenheilkd. 1975 Oct;35(10):741-7.
The results of 19 urographic follow-up studies 6-15 months following vaginal or abdominal radical pelvic operation are reported. Compared to the first follow-up studies 1-7 weeks after the operation which always showed stenosis of the pelvic ureters with various degrees of urinary retention about one half of the cases showed improvement of the stenoses and normalization of the ureteral function later on even when marked urinary retention was found earlier on. Seven cases showed marked improvement. In these seven cases the dynamics of the ureteral function was studied by cineradiography. The results of this investigation are discussed. A deterioration of the urinary retention was observed in only 2 cases. An adverse effect of preoperative or post-operative radiotherapy on the prognosis of ureteral stenosis was not observed.
报告了19例在阴道或腹部根治性盆腔手术后6至15个月进行尿路造影随访研究的结果。与术后1至7周进行的首次随访研究相比,首次随访研究总是显示盆腔输尿管狭窄并伴有不同程度的尿潴留,约一半的病例后来狭窄情况有所改善,输尿管功能恢复正常,即便早期发现有明显的尿潴留。7例显示明显改善。在这7例中,通过动态放射摄影术研究了输尿管功能的动态变化。讨论了该调查结果。仅2例观察到尿潴留恶化。未观察到术前或术后放疗对输尿管狭窄预后的不良影响。