Kim S H, Yoon H K, Park J H, Han J K, Han M C, Kim S W, Lee C W
Department of Radiology, Seoul National University College of Medicine, Korea.
Abdom Imaging. 1993;18(2):186-90. doi: 10.1007/BF00198060.
In eight patients with tuberculous strictures of the urinary tract, antegrade balloon dilation and ureteral stenting was attempted. In six patients, antegrade balloon dilation was successfully performed; however, the procedure was aborted in the remaining two patients due to the failure in passing a guidewire through the stenotic lesions. In six patients in whom balloon dilation and ureteral stenting were performed, a total of nine stenotic lesions were dilated. Those were four ureteric lesions, two lesions of ureteropelvic junctions, two lesions of ureterovesical junctions, and a lesion of calyceal infundibulum. In all six patients in whom balloon dilation and ureteral stenting was successfully accomplished, intravenous urograms obtained 9-31 months after the procedure showed improvements both in contrast media excretion and in prestenotic dilatation. Antegrade balloon dilation of the urinary tract combined with ureteral stenting was an effective technique for the management of stenoses secondary to tuberculosis of the urinary tract.
对8例尿路结核性狭窄患者尝试进行顺行球囊扩张及输尿管支架置入术。6例患者成功进行了顺行球囊扩张；然而，其余2例患者因导丝无法通过狭窄病变而中止手术。在成功进行球囊扩张及输尿管支架置入术的6例患者中，共扩张了9处狭窄病变。其中4处为输尿管病变，2处为输尿管肾盂连接处病变，2处为输尿管膀胱连接处病变，1处为肾盏漏斗部病变。在成功完成球囊扩张及输尿管支架置入术的所有6例患者中，术后9 - 31个月的静脉肾盂造影显示造影剂排泄及狭窄前扩张均有改善。尿路顺行球囊扩张联合输尿管支架置入术是治疗尿路结核继发狭窄的有效技术。
