Squier Urological Clinic, Columbia-Presbyterian Medical Center, New York, New York, USA.
Urology. 1974 Jul;4(1):73-9. doi: 10.1016/0090-4295(74)90112-5.
Ninety-five of 252 (38 per cent) patients with uterine prolapse who had excretory urograms were evaluated to determine the presence of ureteral obstruction. Seven of the 95 (7 per cent) had evidence of hydroureteronephrosis attributable to uterine prolapse. Two patients initially had urologic complaints, and 3 of 6 patients demonstrated resolution of the hydroureteronephrosis in post-treatment urograms. The causation of the ureteral obstruction in patients with procidentia is discussed. The need for complete urologic work-up, particularly pre- and post-treatment excretory urogram in patients with uterine prolapse, is emphasized.
对 252 例有尿外渗性尿路造影的子宫脱垂患者中的 95 例(38%)进行了评估,以确定是否存在输尿管梗阻。95 例中有 7 例(7%)有子宫脱垂引起的肾盂积水证据。2 例患者最初有泌尿系统症状,6 例患者中有 3 例在治疗后的尿路造影中显示肾盂积水得到缓解。讨论了脱垂患者输尿管梗阻的原因。强调了对有子宫脱垂的患者进行全面的泌尿科检查的必要性,特别是在治疗前后进行尿外渗性尿路造影。