Milewski P J
Br J Urol. 1978 Aug;50(5):289-93. doi: 10.1111/j.1464-410x.1978.tb03633.x.
Renal size was estimated from the radiographs in 47 cases of primary pelvic hydronephrosis. The area of functioning renal tissue of the side opposite to the disease was greater in patients with severe hydronephrosis treated by pheloplasty, compared with those with moderate disease (P less than 0.05). This suggests that compensatory hypertrophy had occurred in the contralateral kidney. This finding did not appear to affect the outcome of pyeloplasty. It is suggested that the finding of compensatory hypertrophy in the kidney opposite to a severe hydronephrosis is not a contra-indication to conservative surgery.
对47例原发性肾盂积水患者的X光片进行了肾脏大小评估。与中度肾盂积水患者相比，接受肾盂成形术治疗的重度肾盂积水患者患侧对侧功能正常肾组织的面积更大（P<0.05）。这表明对侧肾脏已发生代偿性肥大。这一发现似乎并未影响肾盂成形术的效果。提示重度肾盂积水对侧肾脏存在代偿性肥大这一发现并非保守手术的禁忌证。
