Oesterwitz H, Bick C, Hengst E
Z Urol Nephrol. 1983 Mar;76(3):151-7.
The symptoms, diagnosis and management of the spontaneous non-traumatic rupture of the urinary collecting system are described. It is important to distinguish this frank rupture of the diseased renal pelvis from extravasation due to pyelosinusal or fornical backflow. Most cases of the latter variety are caused by acute calculous ureteral obstruction and observed during intravenous pyelogram with abdominal compression. They can be managed conservatively. Frank rupture of the renal pelvis are caused by an acute obstruction in a collecting system affected by infection, chronic obstruction, calculous erosion or tumor and is usually of grave significance and requires early surgical intervention. If the therapy is adequate, the prognosis seems to be favourable and nephrectomy seldom necessary.
本文描述了泌尿系统自发性非创伤性破裂的症状、诊断及处理方法。将患病肾盂的这种明显破裂与肾盂窦或肾盏回流导致的外渗相区分很重要。后一种情况多数由急性结石性输尿管梗阻引起，且在静脉肾盂造影腹部加压时可见，可采用保守治疗。肾盂的明显破裂是由受感染、慢性梗阻、结石侵蚀或肿瘤影响的集合系统急性梗阻所致，通常具有严重意义，需要早期手术干预。若治疗得当，预后似乎良好，很少需要进行肾切除术。
