Oesterwitz H, Bick C, Müller P, Hengst E, Seeger W
Department of Urology, Humboldt University (Charité), Berlin.
Eur Urol. 1987;13(6):412-4. doi: 10.1159/000472836.
The use of microsurgery in the treatment of 20 patients with ureteropelvic junction obstruction is described. The Culp-DeWeerd vertical flap pyeloplasty and the dismembered Anderson-Hynes technique were modified by means of microsurgical instruments, optical magnification and fine absorbable polyglactine sutures, described in detail and used in 11 and 8 cases, respectively. In a further patient a similar modified Kucera pyeloplasty was performed. The advantages of the application of microsurgical technique in reconstructive surgery of the renal pelvis and the ureter are the following: no routine use of urinary diversion; shorter hospitalization time; higher success rate, and a cost-saving therapy.
本文描述了显微外科手术在治疗20例肾盂输尿管连接处梗阻患者中的应用。采用显微外科器械、光学放大设备及可吸收聚乙醇酸细缝线对Culp-DeWeerd垂直瓣肾盂成形术和Anderson-Hynes离断性肾盂成形术进行了改良，详细介绍了这两种改良术式，并分别应用于11例和8例患者。另外，对1例患者实施了类似的改良Kucera肾盂成形术。显微外科技术应用于肾盂和输尿管重建手术的优点如下：无需常规行尿流改道；住院时间缩短；成功率更高；是一种节省费用的治疗方法。
