Redman J F
Urology. 1984 Aug;24(2):185-9. doi: 10.1016/0090-4295(84)90426-6.
The ileal conduit with a refluxing ureteroileal anastomosis is considered by many to be a factor in the development of pyelonephritis and renal deterioration in patients so diverted. This opinion is supported by previous experimental work utilizing dogs. A histologic study of dog kidneys drained by a short ileal conduit is presented which shows an incidence of pyelonephritis of 17.6 per cent. Pyelonephritis occurred only when obstruction was present.
许多人认为,带有反流性输尿管回肠吻合术的回肠代膀胱是导致接受这种改道手术的患者发生肾盂肾炎和肾脏损害的一个因素。先前用狗进行的实验工作支持了这一观点。本文呈现了一项对由短回肠代膀胱引流的狗肾脏的组织学研究,该研究显示肾盂肾炎的发生率为17.6%。肾盂肾炎仅在存在梗阻时发生。