Nentwich H J, Unrein H D
Z Urol Nephrol. 1980 Feb;73(2):79-84.
In 48 patients a heminephrectomy was carried out on account of a chronic relapsing pyelonephritis when a double kidney was present which for the largest part was combined with vesico-ureteral reflux, pyelectasia and hypertension. The partly severe histologic changes found in more than 80% in the resection preparation confirmed the supposition that in the majority of the cases the chronic relapsing inflammation issues from the hypoplastic renal pole with a decreased function. Also the courses observed in more than 3/4 which had no recidivation after operation show the possibility of the causal-surgical therapy in chronic relapsing pyelonephritis with double kidney, when the indication is correct.
48例患者因慢性复发性肾盂肾炎接受了半肾切除术，这些患者均为双肾，且大部分合并膀胱输尿管反流、肾盂扩张和高血压。在切除标本中，超过80%发现了部分严重的组织学改变，这证实了多数情况下慢性复发性炎症源于功能减退的发育不良肾极的推测。另外，超过3/4的患者术后未复发，这表明对于双肾慢性复发性肾盂肾炎，在适应证正确时，因果性手术治疗是可行的。
