Gabellon S, Jichlinski P, Wisard M
Clinique d'Urologie, Centre Hospitalier Universitaire Vaudois, Lausanne.
Praxis (Bern 1994). 1997 Oct 29;86(44):1740-3.
The advent of "minimal invasive surgery" with the development of new endoscopic techniques modified many therapeutical concepts in urology as in other fields. The treatment of the ureteropelvic junction obstruction reserved in the past to open surgery can nowadays be successfully realized with endopelvic or endoureteral techniques under visual or fluoroscopic guidance. The authors present their experience with two new techniques: antegrade endopyelotomy under visual control or retrograde fluoroscopic endopyelotomy. Based on experimental and clinical studies which demonstrated the extraordinary capacity of the incised ureter to regenerate and regain a peristaltic activity, these treatments offer a cure rate nearly as high as open pyeloplasty.
随着新的内镜技术的发展，“微创手术”的出现改变了泌尿外科以及其他领域的许多治疗理念。过去保留给开放手术的肾盂输尿管连接部梗阻的治疗，如今在直视或荧光镜引导下通过盆腔内或输尿管内技术即可成功实现。作者介绍了他们在两种新技术方面的经验：直视控制下的顺行肾盂内切开术或逆行荧光镜肾盂内切开术。基于实验和临床研究表明切开的输尿管具有非凡的再生能力并恢复蠕动活动，这些治疗方法的治愈率几乎与开放肾盂成形术一样高。
