Clayman R V, Picus D D
Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
Urol Clin North Am. 1988 Aug;15(3):433-8.
In conclusion, the concept of endopyelotomy remains extremely attractive, and the early results appear promising. However, the methodology appears to be far in advance of the actual science. Objective studies with furosemide washout renography or Whitaker tests prior to endopyelotomy and at 1 year following endopyelotomy are lacking. Currently, because of its less-invasive nature, lack of external catheters, and rapid convalescence, we are continuing to use a ureteroscopic approach to endopyelotomy. However, although this method overall represents a less-invasive approach, the reader is cautioned to keep in mind that our patient series is too small and the follow-up is too brief for any conclusions to yet be drawn in favor of this method.
总之，肾盂内切开术的概念仍然极具吸引力，早期结果似乎很有前景。然而，该方法似乎远远领先于实际的科学进展。缺乏在内切开术前及术后1年进行速尿清除肾图或惠特克试验的客观研究。目前，由于其侵入性较小、无需外置导管且恢复迅速，我们仍在继续采用输尿管镜下肾盂内切开术。然而，尽管这种方法总体上代表了一种侵入性较小的途径，但提醒读者要记住，我们的患者系列规模太小，随访时间太短，尚无法得出支持该方法的任何结论。
