Streem S B, Pontes J E, Novick A C, Montie J E
J Urol. 1986 Aug;136(2):383-5. doi: 10.1016/s0022-5347(17)44875-0.
We studied prospectively 12 patients with upper tract filling defects to determine the clinical value of ureteropyeloscopy in this setting. All of the patients underwent a standard diagnostic regimen, including cystoscopy and retrograde pyelography, at which time upper tract cytology studies were obtained with or without saline lavage or brushings. Computerized tomography scans or ultrasonography also was obtained when indicated. Ureteropyeloscopy with or without transureteroscopic biopsy then was performed. An operation was done when clinically indicated and a definitive diagnosis ultimately was available in all cases. The provisional diagnosis from the standard diagnostic regimen was accurate in 7 of the patients (58 per cent), while the results of ureteropyeloscopy proved to be correct in 10 (83 per cent). Ureteropyeloscopy appears to be more accurate than a standard diagnostic regimen in the evaluation of upper tract filling defects and we recommend its inclusion as a routine part of the evaluation of these patients.
我们前瞻性地研究了12例上尿路充盈缺损患者，以确定输尿管肾盂镜检查在此种情况下的临床价值。所有患者均接受了包括膀胱镜检查和逆行肾盂造影在内的标准诊断方案，在此期间，无论有无盐水灌洗或刷检，均进行了上尿路细胞学检查。如有指征，还进行了计算机断层扫描或超声检查。然后进行了有或无经输尿管镜活检的输尿管肾盂镜检查。在临床指征明确时进行手术，最终所有病例均获得了明确诊断。标准诊断方案的初步诊断在7例患者中是准确的（58%），而输尿管肾盂镜检查的结果在10例患者中被证明是正确的（83%）。在评估上尿路充盈缺损方面，输尿管肾盂镜检查似乎比标准诊断方案更准确，我们建议将其作为这些患者评估的常规部分。
