Kindt J, Retzke U, Herrmann K
Frauenklinik, Bezirkskrankenhauses Suhl.
Zentralbl Gynakol. 1988;110(24):1583-8.
Case report on a patient with an extensive dilatation of renal pelvis and ureter during the first and the following two pregnancies. Operative drainage was performed of renal pelvis on both sides in the 24th and 28th week of the first pregnancy. The second pregnancy ended with spontaneous abortion in the 27th week of pregnancy. Percutaneous punction nephrostomy with successful course of the third pregnancy. Drainage of renal pelvis by punction nephrostomy is indicated in case of co-existence between dilatation of renal pelvis and severe illness and destruction renal parenchyma and of septic pyelonephritis in pregnancy. This procedure should also be done in case of a solitary kidney and excessive dilatation of the renal pelvis. An operative approach is recommended in renal abscess.
一名患者在首次及随后两次妊娠期间肾盂和输尿管广泛扩张的病例报告。首次妊娠第24周和第28周时对双侧肾盂进行了手术引流。第二次妊娠在孕27周时自然流产。第三次妊娠经皮肾穿刺造瘘术过程顺利。当肾盂扩张与严重疾病并存、肾实质破坏以及妊娠期脓毒性肾盂肾炎时，建议行穿刺造瘘术引流肾盂。对于孤立肾和肾盂过度扩张的情况也应进行此操作。肾脓肿时建议采用手术方法。
