Kramolowsky E V, Tucker R D, Nelson C M
Department of Urology, University of Iowa Hospitals and Clinics, Iowa City.
J Urol. 1989 Feb;141(2):285-6. doi: 10.1016/s0022-5347(17)40742-7.
We reviewed 20 cases of ureteral strictures, 15 of which were secondary to ureteral trauma. Of the patients 6 were managed initially by open repair and 14 underwent endoscopic manipulation. All 6 open repairs were successful, compared to 9 of the 14 patients who underwent endoscopic dilation of the ureteral stricture. Of the 5 failures 3 were due to the inability to cannulate the strictured ureter with a guide wire and 2 failed to respond to balloon dilation. Of these 5 patients 4 were treated successfully by an open operation. There were no serious intraoperative or postoperative complications. The average hospitalization was less for the endoscopic group (2.1 days) compared to the open surgical group (8.3 days). Followup ranged from 6 to 48 months.
我们回顾了20例输尿管狭窄病例，其中15例继发于输尿管创伤。这些患者中，6例最初接受开放修复，14例接受内镜操作。所有6例开放修复均成功，而14例接受输尿管狭窄内镜扩张的患者中有9例成功。5例失败病例中，3例是由于无法用导丝插入狭窄的输尿管，2例对球囊扩张无反应。这5例患者中有4例通过开放手术成功治疗。术中及术后均无严重并发症。与开放手术组（8.3天）相比，内镜组的平均住院时间较短（2.1天）。随访时间为6至48个月。
