Soroush M, Bagley D H
Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Tech Urol. 1998 Jun;4(2):77-82.
With improvements in technology, we continue to seek new surgical techniques to approach old surgical issues. Antegrade percutaneous endopyelotomy has become the most common first-line approach to treatment of ureteropelvic junction obstruction, however, it is now possible to treat this condition successfully through a retrograde ureteroscopic approach. By combining the latest small ureteroscopes with the technology of endoluminal ultrasound, it is possible to treat this disease in a single setting without the complications of ureteral strictures or significant postoperative hemorrhage, thereby eliminating the need for a nephrostomy tube and dramatically reducing the morbidity of the procedure.
随着技术的进步，我们不断寻求新的手术技术来解决既往的外科问题。顺行性经皮肾盂内切开术已成为治疗肾盂输尿管连接部梗阻最常用的一线治疗方法，然而，现在通过逆行输尿管镜检查方法也能够成功治疗这种疾病。通过将最新的小型输尿管镜与腔内超声技术相结合，可以在一次手术中治疗这种疾病，而不会出现输尿管狭窄或严重术后出血的并发症，从而无需放置肾造瘘管，并显著降低手术的发病率。
