Boujnah H, el Kamel R, Tissaoui K, Zmerli S
Service d'Urologie, Hôpital Charles-Nicolle, Tunis, Tunisie.
J Urol (Paris). 1989;95(4):217-20.
215 uretero-pelvic obstruction syndrome among 194 adult patients are analysed. 56.8% of them are of stage III or IV. Lithiasis is a frequent complication (41.8% of cases). The other congenital anomalies are very rare. The diagnosis is based on intravenous pyelography with use of furosemide test when the obstruction is moderate. 178 uretero-pelvic plasties are performed, the resection-anastomosis has retrained our choice. It was done in 119 cases with good results in 85.6 cases. Failure are due to error of indication or technical defect. The high level of nephrectomies (25%) is explained by the very important number of advanced and complicated cases. Among the less symptomatic patients, 37 haven't been operated on and were controlled. All except one remained stable.
对194例成年患者中的215例输尿管肾盂梗阻综合征进行了分析。其中56.8%为Ⅲ期或Ⅳ期。结石是常见并发症（41.8%的病例）。其他先天性异常非常罕见。当梗阻为中度时，诊断基于静脉肾盂造影并使用速尿试验。进行了178例输尿管肾盂成形术，切除吻合术是我们的首选。119例采用该术式，85.6例效果良好。失败原因是指征错误或技术缺陷。肾切除术比例较高（25%）是由于晚期和复杂病例数量众多。在症状较轻的患者中，37例未接受手术，而是接受了观察。除1例之外，其余均保持稳定。
