Roques N, Soulie M, Plante P, Larroque J M, De Jong Z, Pontonnier F
Service de Chirurgie Urologique et d'Andrologie, C.H.U. de Rangueil, Toulouse.
Prog Urol. 1994 Feb;4(1):45-50.
Percutaneous endopyelotomy was performed in 16 patients with ureteropelvic junction obstruction. The procedure was always completed with no intra-operative complication. After a mean follow-up of 18 months (6-30 mos), we report 12 good results (75%), 2 patients with no clinical symptoms but remaining partial radiological obstruction, and 2 failures (12.5%) which required early open surgery. Much care must be given to the ureteral stenting: one of our failures was due to extra-pelvic migration of the stent. Endopyelotomy may be considered as an efficient procedure, but long-term evaluation is still required.
对16例肾盂输尿管连接处梗阻患者实施了经皮肾盂内切开术。手术均顺利完成，术中无并发症。平均随访18个月（6 - 30个月）后，我们报告有12例效果良好（75%），2例患者无临床症状但仍存在部分影像学上的梗阻，2例失败（12.5%），这2例需要早期进行开放手术。必须特别注意输尿管支架置入：我们的1例失败病例是由于支架向盆腔外移位。肾盂内切开术可被视为一种有效的手术方法，但仍需要长期评估。
