Bergman B, Knutson F
Acta Pathol Microbiol Scand A. 1978 May;86(3):245-50. doi: 10.1111/j.1699-0463.1978.tb02039.x.
Autopsy records from cases with urinary bladder carcinoma, consisting of patients operated upon with conduit urinary diversion and controls without diversion, were studied. We found macroscopical evidence of upper urinary tract infection (renal abscesses and/or pus-filled pelves/ureters and/or reddish mucosa in pelves/ureters) in 18 of 21 conduit cases without evidence of cancer at autopsy and in 14 of 50 control cases. The difference is statistically significant (p less than 0.0005). Abscesses were found more often in conduit cases (10/21) than in non-diverted cases (8/50) (p less than 0.01). The known connection between dilated ureters and/or pelves and urinary tract infection was demonstrated in non-diverted cases.
对患有膀胱癌病例的尸检记录进行了研究，这些病例包括接受导管尿流改道术的患者以及未进行改道的对照组。我们发现，在21例尸检时无癌症证据的导管尿流改道病例中，有18例存在上尿路感染的宏观证据（肾脓肿和/或充满脓液的肾盂/输尿管和/或肾盂/输尿管黏膜发红），而在50例对照病例中有14例存在此类情况。差异具有统计学意义（p小于0.0005）。导管尿流改道病例中脓肿的发现频率（10/21）高于未改道病例（8/50）（p小于0.01）。在未改道病例中证实了扩张的输尿管和/或肾盂与尿路感染之间的已知联系。
