Ibrahim A I, Patil K P, el Tahir M I, Shetty S D, Anandan N
Department of Surgery, College of Medicine, King Saud University, Abha, Saudi Arabia.
Br J Urol. 1991 Dec;68(6):582-5. doi: 10.1111/j.1464-410x.1991.tb15419.x.
A group of 47 patients with histologically confirmed chronic urinary bilharziasis underwent micturating cystourethrography to look for vesicoureteric reflux (VUR) and bladder neck stenosis (BNS); 13 patients were found to have VUR of varying grades (8 unilateral and 5 bilateral). None had evidence of BNS. Urinary tract infection (UTI), loin pain, hydroureter and renal failure were compared in patients with and without VUR. Of the 13 patients with reflux, 3 had UTI, loin pain was present in 8, 11 had an ipsilateral hydroureter and 2 presented with renal failure. In the 34 patients without reflux, 8 had UTI, loin pain was present in 22, 30 had hydroureter and 3 presented with renal failure. It was concluded that the incidence of UTI, loin pain, hydroureter and renal deterioration associated with bilharzial VUR was not significantly different from that found in bilharzial patients without VUR. Thus the clinical significance and the need for surgical correction of isolated VUR in bilharziasis are questionable.
一组47例经组织学确诊为慢性尿路血吸虫病的患者接受了排尿膀胱尿道造影，以寻找膀胱输尿管反流（VUR）和膀胱颈狭窄（BNS）；发现13例患者存在不同程度的VUR（8例单侧，5例双侧）。无一例有BNS证据。对有和没有VUR的患者的尿路感染（UTI）、腰痛、输尿管积水和肾衰竭情况进行了比较。在13例有反流的患者中，3例有UTI，8例有腰痛，11例有同侧输尿管积水，2例出现肾衰竭。在34例无反流的患者中，8例有UTI，22例有腰痛，30例有输尿管积水，3例出现肾衰竭。得出的结论是，与血吸虫性VUR相关的UTI、腰痛、输尿管积水和肾脏恶化的发生率与无VUR的血吸虫病患者相比无显著差异。因此，血吸虫病中孤立性VUR的临床意义以及手术矫正的必要性值得怀疑。
