Androulakakis P, Frangoulis E, Lefkidis C, Varkarakis M, Deliveliotis A
Eur Urol. 1982;8(5):261-4. doi: 10.1159/000473532.
We evaluated the degree of kidney damage in 175 patients treated by nephrectomy for recurrent renal stones. Renal histopathological lesions of the removed kidneys were graded and correlated to clinical and operative findings. Nonexcreting kidneys on intravenous pyelography or small atrophic kidneys with poor contrast excretion showing advanced hydronephrosis and pyelonephritic scarring intraoperatively corresponding to kidneys with advanced parenchymatous destruction histopathologically. In 91% of the cases severe renal damage was correctly predicted, and a decision to remove the affected kidney was justified.
我们评估了175例因复发性肾结石接受肾切除术患者的肾损伤程度。对切除肾脏的肾组织病理损伤进行分级，并与临床和手术结果相关联。静脉肾盂造影显示无功能肾或对比剂排泄差的小萎缩肾，术中表现为重度肾盂积水和肾盂肾炎瘢痕形成，组织病理学上对应于实质严重破坏的肾脏。在91%的病例中，严重肾损伤得到了正确预测，切除患肾的决定是合理的。
