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[泌尿外科——昨日与今日(作者译)]

[Urology -- yesterday and today (author's transl)].

作者信息

Rummelhardt V S

出版信息

Wien Klin Wochenschr. 1976 Feb 20;88(4):121-9.

PMID:785820
Abstract

The developments in urology over the past 10 years both in regard to diagnosis and therapy are reviewed. The value of diagnostic procedures such as intravenous urography, angiography, isotope rhenogram and scintigram in tumours of the kidney and the significance of lymphangiography in the decision concerning the operability of tumours of the bladder, the prostate and the testicle are discussed. The importance of cytological examinations in the early diagnosis of cancer of the bladder and the prostate, as well as in the postoperative follow up of cases of bladder carcinoma is emphasized. Metabolic diseases such as renal calculus formation and renal hypertension are of great importance in regard to social aspects of medicine owing to their increasing occurrence. New urological equipment, as well as established instruments such as fibre optics and "Urat-I" for the treatment of bladder calculi, as well as cryotherapy of prostatic tumours is demonstrated. Coagulum pyelotomy is recommended for the treatment of friable stones in the renal pelvis and the calyces. This review of the current stand of development in the field of urology is coupled with proposals of a suitable training programme for future urologists.

摘要

本文回顾了过去10年泌尿外科在诊断和治疗方面的进展。讨论了静脉尿路造影、血管造影、同位素肾图和闪烁扫描等诊断方法在肾脏肿瘤中的价值,以及淋巴管造影在决定膀胱、前列腺和睾丸肿瘤的可切除性方面的意义。强调了细胞学检查在膀胱癌和前列腺癌早期诊断以及膀胱癌病例术后随访中的重要性。由于代谢性疾病如肾结石形成和肾性高血压的发病率不断上升,它们在医学社会层面具有重要意义。展示了新的泌尿外科设备以及用于治疗膀胱结石的纤维光学和“Urat-I”等成熟器械,以及前列腺肿瘤的冷冻疗法。推荐采用凝固性肾盂切开术治疗肾盂和肾盏易碎结石。本文在回顾泌尿外科领域当前发展现状的同时,还为未来的泌尿外科医生提出了合适的培训计划建议。

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