Seiferth J, Kurth C, Engelking R, Albrecht K F
Urologe A. 1977 Sep;16(5):253-7.
In an analysis of 75 children with stenosis of the ureter opening, our results are compared to those in the literature (see in particular Tables 1 and 2). Abdominal pain stands out as the major symptom in more than half of the children. In our cases, intramural disturbances predominate in ca, 2/3 of cases, in the literature in about half of cases. The occurrence of extramural disturbances (accessory vessels, adhesions, higher opening of the ureter) occurs with equal frequency. The determining diagnostic procedure for stenosis of the ureter opening is an excretion urogram. Indications for a retrograde pyelogram and the performance of a micturation cystoureterogram are discussed. The operation of choice for stenosis of the ureter opening is the plastic operation of the renal pelvis of Anderson-Hynes, which has a success rate of at least 80%. Amoung our group of patients, primary nephrectomies were only seldom necessary.
在对75例输尿管开口狭窄患儿的分析中，我们将结果与文献中的结果进行了比较（尤其见表1和表2）。腹痛是超过半数患儿的主要症状。在我们的病例中，壁内病变在约2/3的病例中占主导，而在文献中约占半数病例。壁外病变（副血管、粘连、输尿管高位开口）的发生率相同。输尿管开口狭窄的决定性诊断方法是排泄性尿路造影。讨论了逆行肾盂造影的指征及排尿性膀胱输尿管造影的操作。输尿管开口狭窄的首选手术是安德森-海恩斯肾盂整形手术，其成功率至少为80%。在我们的患者组中，很少需要进行一期肾切除术。
