Poulsen E U, Kirkeby H J, Munch-Jørgensen T, Nerstrøm B, Mortensen J
Department of Urology K, Aarhus Municipal Hospital, Denmark.
Urol Int. 1988;43(4):234-8. doi: 10.1159/000281344.
Sixty-seven patients, aged 3-71 years, with primary hydronephrosis were operated at our department during a 5-year period. All patients had Anderson-Hynes pyeloplasty. The primary clinical result of surgery was excellent in 63 patients (94%). Of the patients with reduced renographic uptake fraction preoperatively, 38% had a significant gain 6 months after reconstruction, while only 1 patient had a reduction. There was no correlation between the outcome of reconstruction and preoperative history, degree of hydronephrosis on IVP, preoperative functional share on renography or the peroperative finding of aberrant vessels compressing the ureter. It was concluded that surgery should be undertaken on rather wide indications as reconstruction leads to stable or improved renal function regardless of preoperative symptoms or diagnostic findings.
在5年期间，我科室为67例年龄在3至71岁的原发性肾积水患者进行了手术。所有患者均接受了安德森-海恩斯肾盂成形术。手术的主要临床效果在63例患者中为优（94%）。术前肾图摄取分数降低的患者中，38%在重建6个月后有显著改善，而仅有1例患者有所下降。重建结果与术前病史、静脉肾盂造影（IVP）显示的肾积水程度、术前肾图的功能占比或术中发现的压迫输尿管的异常血管之间无相关性。得出的结论是，手术适应证应较为宽泛，因为无论术前症状或诊断结果如何，重建均能使肾功能稳定或改善。
