Köllermann M W, Scherf H, Busch R, Sietzen W, Klosterhalfen H
Urologe A. 1978 Jan;17(1):5-9.
Level diagnosis repeatedly performed in patients without roentgenologically demonstrable reflux demonstrated bladder bacteriuria in 80% of the cases. The remaining 20% had supravesical bacteriuria. We called this occult reflux, if reinfection was demonstrated. Contamination of the upper tract by occult reflux can, but must not induce pyelonephritis. Bilateral antireflux surgery frequently eliminates occult reflux of bacteria, so this seems a debatable method of treatment.
对无X线可证实反流的患者反复进行分级诊断,结果显示80%的病例存在膀胱菌尿。其余20%有膀胱上菌尿。如果证实有再感染,我们称之为隐匿性反流。隐匿性反流对上尿路的污染可能会,但不一定会引发肾盂肾炎。双侧抗反流手术常常能消除细菌的隐匿性反流,所以这似乎是一种有争议的治疗方法。