Pawar H N
Br J Urol. 1984 Jun;56(3):276-9. doi: 10.1111/j.1464-410x.1984.tb05386.x.
Surgery has often been performed for presumed obstruction in dilated bilharzial ureters but with unrewarding results. In this report 55 non-refluxing dilated bilharzial ureters were studied. Perfusion pressure flow studies and diuresis renography with washout technique were used to diagnose the presence or absence of obstruction. Surgery was performed only when obstruction was proven by PPFS and diuresis renography; thus patients were spared an operation when the obstruction could not be confirmed. Antegrade ureteropyelographic findings, evaluation of peristalsis and transport of urine were the basis for the selection of operation performed. The various surgical procedures are discussed.
对于推测为扩张性血吸虫病性输尿管梗阻的情况，常进行手术治疗，但效果不佳。在本报告中，对55例无反流的扩张性血吸虫病性输尿管进行了研究。采用灌注压力流量研究和带洗脱技术的利尿肾图来诊断是否存在梗阻。仅在经灌注压力流量研究（PPFS）和利尿肾图证实存在梗阻时才进行手术；因此，当无法确认梗阻时，患者可免于手术。顺行输尿管肾盂造影结果、对蠕动及尿液输送的评估是选择手术方式的依据。文中讨论了各种手术方法。
