Heiland G, Unrein H D, Nentwich H J
Z Urol Nephrol. 1978 Dec;71(12):875-9.
By a nephroptosis already in childhood an obstruction of the urine flow with reduction of the drainage effect and thus the appearance of a pyelonephritis may develop. Changes at the vascular pedicle are also possible on account of the abnormal mobility of the kidneys so that without treatment from there may result parenchymatous and functional lesions which, as a rule, become manifest only at adult age. On the basis of own experiences which support themselves on the results of 29 children with nephroptosis we recommend the nephropexy in childhood. The operation is an active prophylaxis of the pyelonephritis caused by nephroptosis with its deleterious sequelae.
在儿童期就出现的肾下垂可能会导致尿流梗阻,引流效果降低,进而引发肾盂肾炎。由于肾脏异常活动,肾蒂处也可能发生变化,因此若不进行治疗,可能会导致实质和功能性病变,通常这些病变在成年期才会显现。基于我们自身的经验以及对29例肾下垂患儿的研究结果,我们建议在儿童期进行肾固定术。该手术是对由肾下垂引起的肾盂肾炎及其有害后遗症的积极预防措施。