Zeĭn Z K, Saltirov I
Khirurgiia (Sofiia). 1996;49(1):19-20.
Over the period 1990-1992, a total of 372 patients with hydronephrosis undergo treatment in the Clinical Center of Urology at the Faculty Alexander Hospital--Sofia Twelve of them are treated after the method of Davis, and 12 patients treated by endopyelotomy are subjected to follow-up study in collaboration with the Department of Urology and Nephrology-Higher Medical Institute, Sofia. As the result of 24 operative interventions the underlying cause of the condition is eliminated, and urinary drainage successfully restored. According to literature data the contraindications for operation include: very broad kidney pelvis and long strictures of the pyeloureteral segment; in the authors' opinion the presence of aberrant blood vessels should be also considered as a contraindication because in such cases the underlying cause cannot be removed. As shown by comparative assessment of the two methods, endopyelotomy has superiorities over surgical pyeloplasty owing to the fact that it is atraumatic, readily tolerated by patients and economically beneficial in the treatment of hydronephrosis, contributing to avoid the complications of surgical pyeloplasty; the complications of endopyelotomy are uncommon and lend themselves readily to conservative management with a positive outcome.
在1990年至1992年期间，共有372例肾积水患者在索菲亚亚历山大医院泌尿外科临床中心接受治疗。其中12例采用戴维斯方法治疗，12例接受肾盂内切开术治疗的患者与索菲亚高等医学院泌尿外科和肾内科合作进行了随访研究。经过24次手术干预，消除了该病的根本原因，成功恢复了尿液引流。根据文献资料，手术禁忌症包括：肾盂非常宽大以及肾盂输尿管段的长段狭窄；作者认为，存在异常血管也应被视为禁忌症，因为在这种情况下无法消除根本原因。两种方法的比较评估表明，肾盂内切开术优于外科肾盂成形术，因为它具有无创性、患者易于耐受且在治疗肾积水方面具有经济效益，有助于避免外科肾盂成形术的并发症；肾盂内切开术的并发症并不常见，且易于采用保守治疗并取得良好效果。
