Sumiyoshi Y, Inai T, Takigawa H, Hiraishi K
Department of Urology, Tokushima University School of Medicine.
Hinyokika Kiyo. 1987 Aug;33(8):1253-5.
One-stage surgical management for ureteropelvic (UP) and ureterovesical (UV) strictures is reported. A 3-year-old boy with UP and UV strictures on left side, underwent nephrostomy at 4 months old. The plastic operations which were Anderson-Hynes method for UP stricture and submucosal tunnel method with tailoring of dilated ureter for UV stricture were performed at the same time. The post-operative intravesical pyelogram and renal scintigraphy showed the improvement of hydronephrosis. Many authors have described two-stage operations for such cases. Our findings revealed that one-stage operation, carefully preserving the blood supply to the ureter, would be an alternative surgical management for UP and UV strictures.
报道了输尿管肾盂（UP）和输尿管膀胱（UV）狭窄的一期手术治疗。一名3岁男孩左侧患有UP和UV狭窄，4个月大时接受了肾造瘘术。同时进行了针对UP狭窄的安德森-海因斯（Anderson-Hynes）法整形手术以及针对UV狭窄的黏膜下隧道法并裁剪扩张的输尿管。术后膀胱肾盂造影和肾闪烁扫描显示肾积水有所改善。许多作者描述过此类病例的两期手术。我们的研究结果表明，在仔细保留输尿管血供的情况下，一期手术可作为UP和UV狭窄的另一种手术治疗方法。
