Adolphs H D, Steffens L
Z Urol Nephrol. 1977 Mar;70(3):187-94.
In 102 patients with ectasia of the renal calyx from degree I to III a pyelograft after Anderson-Hynes was performed. The leading clinical symptoms were, arranged according to frequency: flank pain, recurrent infections of the urinary tract, macrohaematurias, diffuse abdominal pain, palpable flank tumours. In general the diagnosis was made on the basis of the infusion urogramme; a retrograde pyelography was indicated only in cases of missing or insufficient excretion of the contrast remedy. According to the results of the operation apart from the Anderson-Hynes-graft in a lower pole vessel compressing the ureteral passage a ventral deposition of the anastomosis or resection of the lower pole vessel with or without simultaneous resection of the pole was performed. The results of the Anderson-Hynes pyelograft correlated with the degree of the preoperative ectasia of the renal calyx; with increasing degree of severity the good results decreased from 90% to 38%, whereas the bad results increased from 3% to 46%. Judging the success of the operation, a good correspondence between the clinical and radiological parameters was revealed in the degrees I and II. In degree III the numbers of cases were too slight, to secure a diverging tendency of these criteria.
对102例I至III度肾盏扩张患者实施了安德森 - 海恩斯肾盂成形术。主要临床症状按出现频率排列依次为：胁腹痛、复发性尿路感染、肉眼血尿、弥漫性腹痛、可触及的胁腹肿块。一般根据静脉肾盂造影进行诊断；仅在造影剂排泄缺失或不足的情况下才进行逆行肾盂造影。根据手术结果，除了在压迫输尿管通道的下极血管处进行安德森 - 海恩斯肾盂成形术外，还对吻合口进行了腹侧固定，或对下极血管进行了切除，切除时可同时切除或不切除肾极。安德森 - 海恩斯肾盂成形术的结果与术前肾盏扩张程度相关；随着严重程度增加，良好结果从90%降至38%，而不良结果从3%增至46%。在判断手术成功率时，I度和II度患者的临床和放射学参数之间显示出良好的一致性。III度患者的病例数过少，无法确定这些标准的不同趋势。
