Brannen G E, Bush W H, Lewis G P
Virginia Mason Medical Center, Seattle, Washington.
J Urol. 1988 Jan;139(1):29-32. doi: 10.1016/s0022-5347(17)42280-4.
A total of 12 patients underwent primary repair of ureteropelvic junction obstruction between November 1, 1985 and December 31, 1986. Ten patients underwent percutaneous incision of the ureteropelvic junction (endopyelotomy) as the initial effort to correct the obstruction. Two patients with ureteropelvic junction obstruction associated with an aberrant lower pole renal artery underwent dismembered pyeloplasty (Anderson-Hynes) via a flank incision. Of the 10 patients who underwent endopyelotomy 8 (80 per cent) have shown radiographic improvement. Radiographic stability of the obstructed ureteropelvic junction was demonstrated in the remaining 2 patients. No patient exhibited evidence of increased obstruction or decreased renal function. No patient required prolonged or rehospitalization for complications, and none required additional endoscopic or surgical procedures. All patients have remained clinically well after the initial release from the hospital.
1985年11月1日至1986年12月31日期间，共有12例患者接受了肾盂输尿管连接部梗阻的一期修复手术。10例患者首先尝试通过经皮肾盂输尿管连接部切开术（肾盂内切开术）来纠正梗阻。2例肾盂输尿管连接部梗阻合并下极肾动脉异常的患者，通过侧腹切口进行了离断性肾盂成形术（安德森-海因斯手术）。在接受肾盂内切开术的10例患者中，8例（80%）影像学表现有所改善。其余2例患者梗阻性肾盂输尿管连接部的影像学表现稳定。没有患者出现梗阻加重或肾功能下降的迹象。没有患者因并发症需要延长住院时间或再次住院，也没有患者需要额外的内镜或外科手术。所有患者在首次出院后临床情况一直良好。
