Hafez Khaled S, Wolf J Stuart
Department of Urology, University of Michigan, Ann Arbor, Michigan, USA.
J Endourol. 2003 Sep;17(7):453-64. doi: 10.1089/089277903769013586.
To review the role of minimally invasive management in ureteral stricture disease.
A literature search was performed on the MEDLINE database through 2002 concerning endoscopic treatment of patients with ureteral strictures.
Many endourologic methods are available for ureteral strictures. Ureteral dilation may be accomplished in most cases, with various rates of success depending on stricture etiology, location, and length. Endoureterotomy also leads to long-term patency in properly selected cases and appears to be superior to dilation alone.
Significant advances in technique and technology have improved our ability to treat ureteral strictures without the need for open surgery in most patients.
回顾微创治疗在输尿管狭窄疾病中的作用。
通过检索MEDLINE数据库，对截至2002年的输尿管狭窄患者内镜治疗文献进行了回顾。
有多种腔内泌尿外科方法可用于治疗输尿管狭窄。多数情况下可进行输尿管扩张，根据狭窄的病因、部位和长度，成功率各异。对于选择恰当的病例，输尿管内切开术也可使输尿管长期保持通畅，且似乎优于单纯扩张术。
技术和工艺的重大进展提高了我们在大多数患者中无需开放手术即可治疗输尿管狭窄的能力。
