O'Brien W M, Maxted W C, Pahira J J
Division of Urology, Georgetown University Hospital, Washington, D.C.
J Urol. 1988 Oct;140(4):737-40. doi: 10.1016/s0022-5347(17)41799-x.
We reviewed the records of 31 patients treated during the last 5 years for ureteral stricture disease. The causes of stricture formation included ureteroenteral anastomoses (23 per cent), open ureterolithotomy (19 per cent), ureteroscopy (19 per cent), other urological procedures (16 per cent), general surgical and gynecological procedures (13 per cent) and miscellaneous causes (7 per cent). Of the patients 24 were managed initially with antegrade or retrograde balloon dilation or stenting and favorable outcomes were achieved in 12 (50 per cent), with a mean followup of 13 months. Of the 12 patients who failed endourological management 6 subsequently underwent open repair with a 100 per cent success rate. The remaining 7 patients underwent an open operation as the initial management and successful results were achieved in 6. The over-all rate of successful management of ureteral stricture disease using endoscopic and open surgical techniques was 77 per cent. A total of 7 patients (23 per cent) failed attempts at intervention: 5 showed evidence of decreasing renal function and 2 required nephrectomy.
我们回顾了过去5年中接受治疗的31例输尿管狭窄疾病患者的记录。狭窄形成的原因包括输尿管肠吻合术（23%）、开放性输尿管取石术（19%）、输尿管镜检查（19%）、其他泌尿外科手术（16%）、普通外科和妇科手术（13%）以及其他各种原因（7%）。24例患者最初采用顺行或逆行球囊扩张或支架置入术进行治疗，12例（50%）取得了良好效果，平均随访时间为13个月。在12例腔内治疗失败的患者中，6例随后接受了开放性修复，成功率为100%。其余7例患者最初接受开放性手术治疗，6例取得了成功结果。使用内镜和开放手术技术成功治疗输尿管狭窄疾病的总体成功率为77%。共有7例患者（23%）干预尝试失败：5例显示肾功能下降，2例需要进行肾切除术。
