Hospitel S, Galakhoff C, Dana A, Michel J R
J Radiol. 1986 Aug-Sep;67(8-9):565-72.
A review of 49 cases of rare ureteral and pelvic diverticula enables certain clinical and radiologic conclusions to be drawn. Lesions were bifid ureters with blind branches (20 cases), single (8 cases) or multiple (10 cases) diverticula of ureter and pelvic diverticula (11 cases). As previously reported, ureteral diverticula produced few clinical signs whereas these were marked in pyelic lesions. Multiple diverticula are particularly difficult to detect, but diagnosis is the rule from radiologic appearances and is generally confirmed by results of therapy. Their pathogenesis is poorly understood, however, mainly due to lack of histologic data, but recent studies by Cochran suggest they are a particular from of ureteritis. The only debatable point is the frequent association of multiple diverticula with bladder tumor, described by Cochran and confirmed by the authors and unlikely to be the result of chance. Further studies are necessary to provide clarification.
对49例罕见的输尿管和肾盂憩室病例进行回顾后，可得出某些临床和放射学结论。病变包括双输尿管伴盲支（20例）、输尿管单发（8例）或多发（10例）憩室以及肾盂憩室（11例）。如先前报道，输尿管憩室产生的临床症状较少，而肾盂病变的症状则较为明显。多发憩室尤其难以检测，但根据放射学表现通常可作出诊断，且一般通过治疗结果得以证实。然而，其发病机制尚不清楚，主要是由于缺乏组织学数据，但科克伦最近的研究表明，它们是输尿管炎的一种特殊形式。唯一有争议的一点是多发憩室与膀胱肿瘤的频繁关联，这一点由科克伦描述并得到作者证实，不太可能是偶然结果。需要进一步研究以予以澄清。
