Pugachev A G, Kudriavtsev Iu V, Voronovitskiĭ V D
Urologiia. 2003 Nov-Dec(6):58-61.
178 patients with ureteral neuromuscular dysplasia (UND) treated surgically were followed up for maximum 8 years. The following operations were made: resection of the stenosed part with antireflux operation by Politano-Leatbetter, Hendren operation, Lopatkin-Kalichinsky operation. Functional results depended on the condition of leiomyocyte regenerative reserves, deficiency of secretory renal function and the surgical method. In ureteral achalasia (by N. A. Lopatkin's classification) it is recommended to perform resection of the stenosed part by Politano-Leatbetter antireflux technique, in megaureter and ureterohydronephrosis Lopatkin-Kalichinsky operation is preferable.
对178例接受手术治疗的输尿管神经肌肉发育不良(UND)患者进行了最长8年的随访。实施了以下手术:采用波利塔诺-利特贝特尔抗反流手术切除狭窄部位、亨德伦手术、洛帕特金-卡里钦斯基手术。功能结果取决于平滑肌细胞再生储备状况、分泌性肾功能不足以及手术方法。对于输尿管失弛缓症(根据N.A.洛帕特金的分类),建议采用波利塔诺-利特贝特尔抗反流技术切除狭窄部位;对于巨输尿管和输尿管肾盂积水,洛帕特金-卡里钦斯基手术更为可取。