Thomas R, Monga M, Klein E W
Department of Urology, Tulane University Medical Center, New Orleans, LA, USA.
J Endourol. 1996 Apr;10(2):141-5. doi: 10.1089/end.1996.10.141.
Despite the success of endopyelotomy, many points are still being debated. Ureteroscopic retrograde endopyelotomy was carried out in 49 adult patients with 39 available for long-term follow-up. Prestinting facilitated instrument passage and reduces morbidity. The average operating time was 90.2 minutes. Two patients underwent elective nephrectomy for poorly functioning kidneys that did not improve after treatment, and one patient underwent urgent nephrectomy for bleeding 26 days postoperatively. Improvement in drainage was documented in the successful cases. The authors consider ureteroscopic endopyelotomy the first-line approach for most cases of ureteropelvic junction obstruction.
尽管肾盂内切开术取得了成功，但仍有许多问题存在争议。对49例成年患者实施了输尿管镜逆行肾盂内切开术，其中39例可进行长期随访。预先放置支架有助于器械通过并降低发病率。平均手术时间为90.2分钟。两名患者因治疗后肾功能未改善而接受了择期肾切除术，一名患者在术后26天因出血接受了急诊肾切除术。成功病例中记录了引流情况的改善。作者认为输尿管镜肾盂内切开术是大多数输尿管肾盂连接部梗阻病例的一线治疗方法。
