Price M, Kottke F J, Olson M E
Arch Phys Med Rehabil. 1975 Feb;56(2):76-9.
In the eighth year of a continuing study of renal function in patients with spinal cord injury, 78 percent had good function, 13 percent mild deterioration, 4 percent moderate deterioration and 5 percent severe deterioration of kidney function. No single factor was shown to be a dominant cause of decreased function. The factors most frequently associated with renal deterioration were vesicoureteral reflux, renal calculi, recurrent pyelonephritis as demonstrated by calyceal blunting, and recurrent decubitus ulcers, the latter usually in combination with other factors. Most of these factors could be prevented by good medical supervision and meticulous self-care.
在一项对脊髓损伤患者肾功能的持续研究的第八年，78%的患者肾功能良好，13%轻度恶化，4%中度恶化，5%重度恶化。没有单一因素被证明是功能下降的主要原因。与肾脏恶化最常相关的因素是膀胱输尿管反流、肾结石、肾盏变钝所显示的复发性肾盂肾炎以及复发性褥疮，后者通常与其他因素共同作用。通过良好的医疗监督和精心的自我护理，这些因素大多是可以预防的。
