Karlin G, Badlani G, Smith A D
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.
Urology. 1992 Jun;39(6):533-7. doi: 10.1016/0090-4295(92)90010-t.
Endopyelotomy was performed in 30 patients with congenital primary ureteropelvic junction obstruction; 4 patients had high insertion of the ureter and 8 patients had caliceal stones. Clinical and radiologic success was achieved in 25 patients. There were five failures, all of whom subsequently had successful open pyeloplasty. The theoretical and experimental foundations of the procedure and fine points of the operative technique are presented. Endopyelotomy appears to be valuable for primary ureteropelvic junction obstruction just as it is for secondary obstruction.
对30例先天性原发性输尿管肾盂连接部梗阻患者实施了肾盂内切开术;4例患者输尿管高位插入,8例患者有肾盂结石。25例患者获得了临床和影像学成功。有5例失败,所有这些患者随后均成功接受了开放性肾盂成形术。本文介绍了该手术的理论和实验基础以及手术技术要点。肾盂内切开术对于原发性输尿管肾盂连接部梗阻似乎与继发性梗阻一样有价值。