Mikkelsen S S, Rasmussen B S, Jensen T M, Hanghøj-Petersen W, Christensen P O
Parenkymkirurgisk afdeling, klinisk kemisk afdeling og radiologisk afdeling, Holstebro Centralsygehus.
Ugeskr Laeger. 1993 Aug 9;155(32):2458-61.
Twenty-one patients with hydronephrosis mean age 37 years (11-72) were operated using Anderson-Hynes pyeloplasty, without routine use of a nephrostomy catheter. One patient developed urinary leakage postoperatively, which ceased after insertion of a ureteric catheter. Follow-up assessment was performed after a mean observation time of 85 months (44-142). Clinical examination, laboratory investigations, urography and renography were performed preoperatively and at follow-up. No signs of stones or stenosis in the pelvis were found. The patients operated upon before the age of 30 showed improved postoperative renal function. All patients had symptoms preoperatively, but only one had symptoms postoperatively. It can be concluded that the results of surgical intervention in hydronephrosis are excellent, especially in patients below 30 years.
21例肾积水患者，平均年龄37岁（11 - 72岁），接受了安德森 - 海因斯肾盂成形术，未常规使用肾造瘘导管。1例患者术后出现尿漏，插入输尿管导管后停止。平均观察时间85个月（44 - 142个月）后进行随访评估。术前及随访时均进行了临床检查、实验室检查、尿路造影和肾造影。未发现肾盂有结石或狭窄迹象。30岁之前接受手术的患者术后肾功能有所改善。所有患者术前均有症状，但术后只有1例有症状。可以得出结论，肾积水手术干预的效果极佳，尤其是对30岁以下的患者。
