Barbe Y P, Ratajczak A, Coadou Y, Guille F, Lobel B
Ann Urol (Paris). 1985;19(1):39-41.
By modifying the anatomical location of the bladder and ureter, and by favoring urinary stasis and pyuria, pregnancy may reveal or aggravate an existing vesico-renal reflux. In reporting six cases of vesico-renal reflux in pregnant women, revealed by attacks of feverish lombalgia, or mictional disorders associated with pyuria, and confirmed postpartum by intravenous urography, retrograde cystography and cystoscopy, the authors recall the factors associated with pregnancy which favor the appearance of a reflux, mechanical, hormonal and metabolic action. Surgical correction of refluxes associated with pyuria and detected during pregnancy would seem indicated.
通过改变膀胱和输尿管的解剖位置，并促使尿潴留和脓尿形成，妊娠可能会使现有的膀胱-肾反流显现出来或使其加重。作者报告了6例孕妇膀胱-肾反流病例，这些病例由发热性腰痛发作或伴有脓尿的排尿障碍所揭示，并在产后通过静脉尿路造影、逆行膀胱造影和膀胱镜检查得以确诊。作者回顾了与妊娠相关的、有利于反流出现的因素，包括机械性、激素性和代谢性作用。对于妊娠期间检测到的伴有脓尿的反流进行手术矫正似乎是必要的。
