Poulsen E U, Jørgensen T M, Hansen F, Djurhuus J C
Urologisk afdeling, Skejby Sygehus, Arhus.
Ugeskr Laeger. 1996 Nov 25;158(48):6915-9.
The purpose of the study was to evaluate pyeloplasty a.m. Anderson-Hynes in the treatment of hydronephrosis in a large series of patients. In 175 patients, consecutively operated for ureteropelvic junction obstruction, we found 24 (14%) with minor postoperative complications, mostly urinary tract infection. Six patients (3%) were reoperated because of continued pain and obstructed drainage postoperatively. There was a small, but statistically significant increase in renal functional share on the operated side. We found a highly significant correlation between postoperative changes in total GFR and single kidney GFR on the operated side, which suggests a real improvement in renal function, rather than a simple reallocation of function between the two kidneys. We conclude that newer treatment modalities known as "minimally invasive surgery" must give comparably good results in order to be an acceptable alternative to traditional dismembered pyeloplasty.
本研究的目的是评估安德森-海恩斯（Anderson-Hynes）上午肾盂成形术在大量患者中治疗肾积水的效果。在175例因输尿管肾盂连接处梗阻而连续接受手术的患者中，我们发现24例（14%）有轻微术后并发症，主要是尿路感染。6例（3%）患者因术后持续疼痛和引流受阻而接受再次手术。手术侧肾功能份额有小幅但具有统计学意义的增加。我们发现手术侧总肾小球滤过率（GFR）和单肾GFR的术后变化之间存在高度显著的相关性，这表明肾功能有实际改善，而不是两肾之间功能的简单重新分配。我们得出结论，被称为“微创手术”的新治疗方式必须取得相当好的效果，才能成为传统离断性肾盂成形术的可接受替代方案。
