Polito M, Galosi A B, Minardi D, Nonni M, Cinti P, Riccardi A
Clinica Urologica, Università degli Studi, Ancona.
Arch Ital Urol Androl. 1997 Feb;69 Suppl 1:21-5.
A series of 48 patients with hydronephrosis (mean age 31 yrs.) underwent on Anderson-Hynes pyeloplasty. Assessment was carried out in 30 pts. after a mean observation time of 90 months, with a minimum 5 years follow-up. Clinical examination, laboratory investigations, renal ultrasonography, urography and renal scan were performed pre-operatively and at follow-up. There was one patient with evidence of stenosis in the ureteropelvic junction; one patient developed urinary leakage post-operatively and required surgical correction. All patients had symptoms pre-operatively and no one had symptoms post-operatively. Four patients had calcolosis associated, postoperatively all pts. were stone free; four years later one patient developed litiasis. We observed that the results of surgical intervention in hydronephrosis are excellent especially in patients aged less than 30 years.
48例肾积水患者(平均年龄31岁)接受了安德森-海因斯肾盂成形术。对30例患者进行了评估,平均观察时间为90个月,最短随访5年。术前及随访时均进行了临床检查、实验室检查、肾脏超声检查、尿路造影和肾脏扫描。有1例患者存在输尿管肾盂连接处狭窄;1例患者术后发生尿漏,需要手术矫正。所有患者术前均有症状,术后均无症状。4例患者伴有结石形成,术后所有患者结石均消失;4年后1例患者复发结石。我们观察到,肾积水手术干预的效果非常好,尤其是对于年龄小于30岁的患者。