Bergman B, Norrgård O
Department of Urology, University of Umeå, Sweden.
Int Urol Nephrol. 1990;22(3):209-14. doi: 10.1007/BF02550394.
In order to study the effectiveness of unilateral nephrectomy as a treatment for chronic unilateral pyelonephritis, 15 consecutive patients who had undergone this operation were followed up. The patients had been operated on 8.9 years (mean) earlier. All of the 15 patients had had recurrent urinary tract infections prior to the operation, 11 of them had had pyelonephritis for between 1 and 19 (mean 6.7) years. One patient only had had a verified episode of urinary tract infection during the follow-up period. All 15 patients were hypertensive prior to the operation. At the time of follow-up, 7 patients were normotensive without drugs, and 2 were normotensive with a reduced dosage of antihypertensives. The mean systolic blood pressure went down from 180 to 150 mm Hg, and the mean diastolic pressure from 109 to 88 mm Hg. This operation can thus be recommended in selected cases of unilateral chronic pyelonephritis with hypertension.
为了研究单侧肾切除术治疗慢性单侧肾盂肾炎的有效性，对连续15例接受该手术的患者进行了随访。这些患者平均在8.9年前接受了手术。15例患者术前均有复发性尿路感染，其中11例患肾盂肾炎1至19年（平均6.7年）。随访期间仅有1例患者确诊有尿路感染发作。15例患者术前均患有高血压。随访时，7例患者不服药血压正常，2例患者服用减量降压药后血压正常。平均收缩压从180毫米汞柱降至150毫米汞柱，平均舒张压从109毫米汞柱降至88毫米汞柱。因此，对于某些伴有高血压的单侧慢性肾盂肾炎病例，可推荐施行此手术。
