Puigvert A
Helv Chir Acta. 1979 Aug;46(3):337-49.
The anatomo-operative characteristics of the ischemic stenosis of the juxtapyelic part of the ureter, its embryogenic fundamentals, clinical semiology and urography, emphasizing the signs of the latter for the differential diagnosis of hydronephrosis are presented. The most adequate surgical technique, that is the extirpation of the scleroatrophic part of the ureter, followed by uretero-pyelostomy, with special care in preserving the arteries of the ureter, is summarized and the technique for the postoperative drainage of the kidney is pointed out. The poor effectiveness of other procedures are commented.
本文介绍了输尿管肾盂连接部缺血性狭窄的解剖手术特征、胚胎学基础、临床症状学及尿路造影，重点阐述了尿路造影在肾积水鉴别诊断中的征象。总结了最适宜的手术技术，即切除输尿管硬化萎缩部分，随后进行输尿管肾盂吻合术，并特别注意保留输尿管的动脉，同时指出了术后肾脏引流技术。对其他手术方法效果不佳的情况进行了评论。
