Boston V E, Smyth B T
Br J Urol. 1975 Apr;47(2):149-51. doi: 10.1111/j.1464-410x.1975.tb03937.x.
A 9-year-old girl suffered severe multiple injuries in a road traffic accident. Following a period of anuria an intravenous pyelogram was performed indicating bilateral pelvi-ureteric rupture. Continuity was eventually achieved on both sides following two attempts at ureteral anastomosis. One year after the accident the child is well and the kidneys and ureters are functionally normal. Early diagnosis and treatment is essential in order to achieve a good functional result. This is aided by an awareness of the condition and is confirmed by intravenous and retrograde pyelography. The anastomosis is performed over a polythene splint, supported by a defunctioning nephrostomy for several weeks. The aetiology remains obscure, although there have been many suggestions regarding the mechanics of pelvi-ureteric avulsion.
一名9岁女孩在道路交通事故中受多处重伤。在经历一段无尿期后，进行了静脉肾盂造影，结果显示双侧肾盂输尿管破裂。经过两次输尿管吻合术尝试后，两侧最终恢复了连续性。事故发生一年后，患儿情况良好，肾脏和输尿管功能正常。为获得良好的功能结果，早期诊断和治疗至关重要。对该病症的认识有助于早期诊断，静脉肾盂造影和逆行肾盂造影可确诊。吻合术在聚乙烯夹板上进行，并通过肾造瘘术造瘘数周以辅助恢复功能。尽管关于肾盂输尿管撕裂的机制有很多说法，但其病因仍不明确。
