Walz P H, Alken P
Helv Chir Acta. 1981 Aug;48(3-4):327-30.
43 adult patients with 54 primary obstructive megaureters were studied retrospectively. This diagnosis excludes infravesical obstruction, reflux or neurogenic disorders. 23 megaureters were leftsided, 9 rightsided and 11 bilateral. Main symptoms were flank pain, infection and hematuria. In 25 cases an operation was performed, 29 were treated conservatively. Operative treatment should be limited to well-defined complications such as deterioration of kidney function or recurrent infection to avoid discredit as merely cosmetic procedure.
对43例患有54条原发性梗阻性巨输尿管的成年患者进行了回顾性研究。该诊断排除膀胱下梗阻、反流或神经源性疾病。23条巨输尿管为左侧，9条为右侧，11条为双侧。主要症状为胁腹疼痛、感染和血尿。25例患者接受了手术治疗，29例接受了保守治疗。手术治疗应仅限于明确的并发症，如肾功能恶化或反复感染，以避免被认为只是美容手术而受到质疑。
