Mladenov D, Tsvetkov M, Panchev P, Filev A, Kirilov S, Kumanov Kh
Khirurgiia (Sofiia). 1991;44(3):21-6.
The search for new methods of diagnosis, treatment and prognosis and their introduction in practice is a stable process in world urologic practice. It was not until after the first echographic apparatuses were produced in the fifties that the introduction of interventional ultrasound in urology became feasible. The authors set themselves the task to study and summarize the possibilities of this method for treatment of diseases of the kidneys, upper urinary tract, bladder and prostate. Renal cysts were diagnosed by ultrasound in 312 patients; in 229 of them percutaneous puncture was performed under ultrasound control. To reduce relapses, different sclerosing substances were applied, peak success being obtained with tetraolean. For establishing the exact cause of obstruction of the upper urinary tract the authors used antegrade pyelography under ultrasound control in 92 patients. Percutaneous nephrostomy for drainage of the upper urinary tract, a new endourologic operation was performed in 67 patients. To raise the radical approach to transurethral resection of the prostate and of bladder tumors, intraoperative transurethral ultrasound control was adopted for all patients operated by this technique.
在世界泌尿外科实践中，寻找新的诊断、治疗和预后方法并将其应用于实际是一个稳定的过程。直到五十年代第一批超声设备问世后，介入性超声在泌尿外科的应用才成为可能。作者给自己设定了一项任务，即研究和总结这种方法在治疗肾脏、上尿路、膀胱和前列腺疾病方面的可能性。通过超声诊断出312例肾囊肿患者；其中229例在超声引导下进行了经皮穿刺。为了减少复发，使用了不同的硬化剂，使用齐墩果酸取得了最佳效果。为了确定上尿路梗阻的确切原因，作者在超声引导下对92例患者进行了顺行肾盂造影。对67例患者进行了经皮肾造瘘术以引流上尿路，这是一种新的腔内泌尿外科手术。为了提高经尿道前列腺切除术和膀胱肿瘤切除术的根治性，对所有接受该技术手术的患者采用了术中经尿道超声控制。
