Shabad A L
Int Urol Nephrol. 1975;7(3):179-82. doi: 10.1007/BF02082672.
The study of sex distribution revealed an increase of the percentage of females among more than 12 000 patients with pyelonephritis, renal tuberculosis and nephroureterolithiasis in the period 1959-73 from 69 to 75%, from 63 to 69% and from 54 to 64%, respectively. The tendency revealed may be explained by a decrease of the role of general causal factors, which are of the same importance for males and females, and by the relative increase of the role of local factors, which are of greater importance for females due to pregnancy, delivery, and gynecological disorders. The role of the latter factors in the pathogenesis of infectious and calculous renal diseases in women is confirmed by the study of the history and the fate of female patients and by a more frequent affection of their right kidney. Women after complicated pregnancy and delivery, gynecological diseases and genital surgery need regulat dispensary urological observation to prevent and detect early infectious and calculous renal diseases.
对性别分布的研究表明，在1959年至1973年期间，12000多名患有肾盂肾炎、肾结核和肾输尿管结石病的患者中，女性所占百分比分别从69%增至75%，从63%增至69%，从54%增至64%。所揭示的这一趋势可以解释为，对男性和女性同等重要的一般致病因素的作用有所降低，以及局部因素的作用相对增加，由于怀孕、分娩和妇科疾病，局部因素对女性更为重要。对女性患者病史和转归的研究以及她们右肾更频繁受累，证实了后一类因素在女性感染性和结石性肾病发病机制中的作用。经历过复杂妊娠和分娩、患有妇科疾病以及接受过生殖系统手术的女性需要定期进行泌尿科门诊观察，以预防和早期发现感染性和结石性肾病。
